[Video-assisted thoracoscopic extended thymectomy for myasthenia gravis: report of 62 cases]

Jian-feng Chen, Yuan-rong Tu, Xu Li, Min Lin, Fan-cai Lai, Ming-lian Qu
Zhonghua Yi Xue za Zhi [Chinese medical journal] 2010 October 26, 90 (39): 2770-2

OBJECTIVE: To evaluate the clinical value of video-assisted thoracoscopic extended thymectomy for myasthenia gravis(MG).

METHODS: Sixty-two MG cases underwent video-assisted thoracoscopic extended thymectomy. The operative extension included thymus tissue and adipose tissue in anterior superior mediastinum.

RESULTS: All operations were performed successfully. The mean operating duration, mean intraoperative blood loss and mean postoperative hospital stay was 98 ± 26 minutes, 60 ± 29 ml and 8.2 ± 2.5 days respectively. All cases were followed up for 5 to 48 months. Among them, 20 (32.3%) patients achieved a complete relief, 32 (51.6%) had their improved symptoms, 8 (12.9%) remained stable and 2 (3.2%) became worse. And the overall relief rate was 83.9%.

CONCLUSION: Video-assisted thoracoscopic extended thymectomy is both feasible and reliable for MG with the advantages of a minimal trauma and a rapid recovery.

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