| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1996;112:1352-1360
© 1996 Mosby, Inc.
GENERAL THORACIC SURGERY |
Received for publication May 3, 1996 Revisions requested June 10, 1996; revisions received July 12, 1996 accepted for publication July 15, 1996 Address for reprints: Michael J. Mack, MD, Cardiothoracic Surgery Associates of North Texas P.A., 7777 Forest Lane, Suite 323-A, Dallas, TX 75230.
Abstract
Objective: The efficacy of video-assisted thoracic surgery for thymectomy with myasthenia gravis has not been examined. Methods: Thirty-three consecutive patients underwent total thymectomy by video-assisted techniques between 1992 and 1995. There were 13 male and 20 female patients with a mean age of 38.42 ± 16.88 years (range 9 to 84 years). The procedures were performed by either a right (n = 11) or left (n = 22) thoracoscopic approach and all anterior mediastinal tissue was removed. Results: There was no perioperative mortality or long-term morbidity. One patient required conversion of the video-assisted thechnque to a lateral thoracotomy. All patients except one were extubated immediately. The mean hospital stay was 4.12 ± 6.07 days (range 1 to 37 days) with a median of 3 days. Mean follow-up is 23.39 ± 11.72 months (range 4 to 47 months). Clinical improvement was seen in 87.9% (29/33): one of two patients (50%) in stage I, 17 of 19 (89.4%) in stage IIA, eight of nine (88.8%) in stage IIB, and three of three (100%) in stage III. Metaanalysis of these results compared with results in nine published series in which other techniques were used showed no difference in clinical improvement after thymectomy between series. Conclusion: We conclude that video-assisted thymectomy is as effective as the traditional open surgical approaches for performance of thymectomy in the management of patients with myasthenia gravis. In addition, the improved cosmesis of the video-assisted approach ideally will lead to earlier thymectomy in patients with myasthenia gravis. (J THORAC CARDIOVASC SURG 1996;112:1352-60)
This article has been cited by other articles:
|
|
 |
|
  D. M. Meyer, M. A. Herbert, N. C. Sobhani, P. Tavakolian, A. Duncan, M. Bruns, K. Korngut, J. Williams, S. L. Prince, L. Huber, et al. Comparative clinical outcomes of thymectomy for myasthenia gravis performed by extended transsternal and minimally invasive approaches. Ann. Thorac. Surg., February 1, 2009; 87(2): 385 - 390. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Cakar, P. Werner, F. Augustin, T. Schmid, A. Wolf-Magele, M. Sieb, and J. Bodner A comparison of outcomes after robotic open extended thymectomy for myasthenia gravis Eur. J. Cardiothorac. Surg., March 1, 2007; 31(3): 501 - 505. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Rea, G. Marulli, L. Bortolotti, P. Feltracco, A. Zuin, and F. Sartori Experience With the "Da Vinci" Robotic System for Thymectomy in Patients With Myasthenia Gravis: Report of 33 Cases Ann. Thorac. Surg., February 1, 2006; 81(2): 455 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Kattach, K. Anastasiadis, J. Cleuziou, C. Buckley, B. Shine, R. Pillai, and C. Ratnatunga Transsternal Thymectomy for Myasthenia Gravis: Surgical Outcome Ann. Thorac. Surg., January 1, 2006; 81(1): 305 - 308. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Manlulu, T. W. Lee, I. Wan, C. Y. Law, C. Chang, J. C. Garzon, and A. Yim Video-Assisted Thoracic Surgery Thymectomy for Nonthymomatous Myasthenia Gravis Chest, November 1, 2005; 128(5): 3454 - 3460. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Rea, G. Marulli, and L. Bortolotti Robotic video-assisted thoracoscopic thymectomy MMCTS, March 24, 2005; 2005(0324): 422. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. C. Ashton Jr, K. M. McGinnis, C. P. Connery, D. G. Swistel, D. R. Ewing, and J. J. DeRose Jr Totally endoscopic robotic thymectomy for myasthenia gravis Ann. Thorac. Surg., February 1, 2003; 75(2): 569 - 571. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Savcenko, G. K. Wendt, S. L. Prince, and M. J. Mack Video-assisted thymectomy for myasthenia gravis: an update of a single institution experience Eur. J. Cardiothorac. Surg., December 1, 2002; 22(6): 978 - 983. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C.-P. Hsu, C.-Y. Chuang, N.-Y. Hsu, and S.-E. Shia Subxiphoid approach for video-assisted thoracoscopic extended thymectomy in treating myasthenia gravis Interactive CardioVascular and Thoracic Surgery, September 1, 2002; 1(1): 4 - 8. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Pego-Fernandes, J. R. M. de Campos, F. B. Jatene, P. Marchiori, F. V. Suso, and S. A. de Oliveira Thymectomy by partial sternotomy for the treatment of myasthenia gravis Ann. Thorac. Surg., July 1, 2002; 74(1): 204 - 208. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Roth, R. Ackermann, R. Stein, R. Inderbitzi, K. Rosler, and R.A. Schmid Thirteen years follow-up after radical transsternal thymectomy for myasthenia gravis. Do short-term results predict long-term outcome? Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 664 - 670. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Uchiyama, S. Shimizu, H. Murai, S. Kuroki, M. Okido, and M. Tanaka Infrasternal mediastinoscopic thymectomy in myasthenia gravis: surgical results in 23 patients Ann. Thorac. Surg., December 1, 2001; 72(6): 1902 - 1905. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. K. Kolski, P. C.W. Kim, and J. Vajsar Video-Assisted Thoracoscopic Thymectomy in Juvenile Myasthenia Gravis J Child Neurol, August 1, 2001; 16(8): 569 - 573. [Abstract] [PDF]
|
|
|
|
|
|
M. E. Deeb, C. J. Brinster, J. Kucharzuk, J. B. Shrager, and L. R. Kaiser Expanded indications for transcervical thymectomy in the management of anterior mediastinal masses Ann. Thorac. Surg., July 1, 2001; 72(1): 208 - 211. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Mussi, M. Lucchi, L. Murri, R. Ricciardi, L. Luchini, and C. A. Angeletti Extended thymectomy in myasthenia gravis: a team-work of neurologist, thoracic surgeon and anaesthesist may improve the outcome Eur. J. Cardiothorac. Surg., May 1, 2001; 19(5): 570 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. C. Ruckert, D. Czyzewski, S. Pest, and J. M. Muller Radicality of thoracoscopic thymectomy - an anatomical study Eur. J. Cardiothorac. Surg., December 1, 2000; 18(6): 735 - 736. [Full Text] [PDF]
|
|
|
|
|
|
J. C. Ruckert, M. Walter, and J. M. Muller Pulmonary function after thoracoscopic thymectomy versus median sternotomy for myasthenia gravis Ann. Thorac. Surg., November 1, 2000; 70(5): 1656 - 1661. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Grandjean, M. Lucchi, and M. A. Mariani Reversed-T upper mini-sternotomy for extended thymectomy in myasthenic patients Ann. Thorac. Surg., October 1, 2000; 70(4): 1423 - 1424. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Pompeo, I. Nofroni, N. Iavicoli, and T. C. Mineo Thoracoscopic completion thymectomy in refractory nonthymomatous myasthenia Ann. Thorac. Surg., September 1, 2000; 70(3): 918 - 923. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Jaretzki III, R. J. Barohn, R. M. Ernstoff, H. J. Kaminski, J. C. Keesey, A. S. Penn, and D. B. Sanders Myasthenia gravis: Recommendations for clinical research standards Neurology, July 12, 2000; 55(1): 16 - 23. [Full Text] [PDF]
|
|
|
|
|
|
A. Jaretzki III, R. J. Barohn, R. M. Ernstoff, H. J. Kaminski, J. C. Keesey, A. S. Penn, and D. B. Sanders Myasthenia gravis: recommendations for clinical research standards Ann. Thorac. Surg., July 1, 2000; 70(1): 327 - 334. [Full Text] [PDF]
|
|
|
|
|
|
T. C. Mineo, E. Pompeo, T. E. Lerut, G. Bernardi, W. Coosemans, and I. Nofroni Thoracoscopic thymectomy in autoimmune myasthenia: results of left-sided approach Ann. Thorac. Surg., May 1, 2000; 69(5): 1537 - 1541. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Granone, S. Margaritora, A. Cesario, and D. Galetta Thymectomy in myasthenia gravis via video-assisted infra-mammary cosmetic incision Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 861 - 863. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Jaretzki III Outcome after transcervical thymectomy. Ann. Thorac. Surg., February 1, 1999; 67(2): 592 - 593. [Full Text] [PDF]
|
|
|
|
 |
|
 T. C. Mineo, E. Pompeo, V. Ambrogi, G. Bernardi, C. Iani, and A. F. Sabato Video-assisted completion thymectomy in refractory myasthenia gravis J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 252 - 254. [Full Text] [PDF]
|
|
|
|
|
|
J. W. T. Ng, G. H. C. Yeung, and D. P. W. Cheng Video-assisted thymectomy in patients with myasthenia gravis: Lateral versus supine position J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 265 - 266. [Full Text]
|
|
|
|
|
|
T. C. Mineo, E. Pompeo, and V. Ambrogi Video-assisted thoracoscopic thymectomy: From the right or from the left? J. Thorac. Cardiovasc. Surg., September 1, 1997; 114(3): 516 - 517. [Full Text]
|
|
|
|
|
|
A. P. C. Yim, T. C. Mineo, E. Pompeo, and V. Ambrogi Thoracoscopic Thymectomy: Which Side to Approach? Ann. Thorac. Surg., August 1, 1997; 64(2): 584 - 585. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
