Thoracoscopic Thymectomy for Myasthenia Gravis
Thoracoscopic Thymectomy for Myasthenia Gravis is a topic covered in the Pearson's General Thoracic.
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Key Points
- Thoracoscopic thymectomy is a safe and viable alternative technique for thymectomy in patients with MG.
- We prefer the right-sided approach, but there is no consensus on the ideal laterality for VATS thymectomy.
- Results of VATS thymectomy, in terms of complete stable remission from MG and symptomatic improvement, are comparable to those of conventional surgical techniques.
- VATS thymectomy results in less postoperative pain, better preserved early postoperative pulmonary function, and improved cosmesis, which is particularly important to many young, female MG patients who seek early surgical management.
- The future development of single port (uniportal) VATS thymectomy, better instrumentation, and camera systems, as well as image-guided VATS thymectomy performed in the hybrid operating theatre may further improve outcomes for patients undergoing VATS thymectomy.
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Key Points
- Thoracoscopic thymectomy is a safe and viable alternative technique for thymectomy in patients with MG.
- We prefer the right-sided approach, but there is no consensus on the ideal laterality for VATS thymectomy.
- Results of VATS thymectomy, in terms of complete stable remission from MG and symptomatic improvement, are comparable to those of conventional surgical techniques.
- VATS thymectomy results in less postoperative pain, better preserved early postoperative pulmonary function, and improved cosmesis, which is particularly important to many young, female MG patients who seek early surgical management.
- The future development of single port (uniportal) VATS thymectomy, better instrumentation, and camera systems, as well as image-guided VATS thymectomy performed in the hybrid operating theatre may further improve outcomes for patients undergoing VATS thymectomy.
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Last updated: February 27, 2023
Citation
Ng, Calvin S, et al. "Thoracoscopic Thymectomy for Myasthenia Gravis." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Ng CS, Zhao Z, Yim AP. Thoracoscopic Thymectomy for Myasthenia Gravis. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed March 29, 2023.
Ng, C. S., Zhao, Z., & Yim, A. P. (2023). Thoracoscopic Thymectomy for Myasthenia Gravis. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Ng CS, Zhao Z, Yim AP. Thoracoscopic Thymectomy for Myasthenia Gravis [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 March 29]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Thoracoscopic Thymectomy for Myasthenia Gravis
ID - 1418509
ED - Jacobs,J,
ED - Darling,Gail,
ED - Baumgartner,William,
Y1 - 2023/02/27/
BT - Pearson's General Thoracic
UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418509/all/Thoracoscopic_Thymectomy_for_Myasthenia_Gravis
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -