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Thorac Cardiovasc Surg 2017; 65(03): 250-254
DOI: 10.1055/s-0036-1586136
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Modified Transsubxiphoid Thoracoscopic Extended Thymectomy in Patients with Myasthenia Gravis

Yonglong Zhong
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Yifan Zhou
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Lingyu Jiang
2   Intensive Care Unit, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Hui Lin
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Xiangwei Li
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Zhaoke Wen
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Xiaomao Long
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
,
Jinlong Luo
1   Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi
› Author Affiliations
Further Information

Publication History

12 April 2016

14 June 2016

Publication Date:
10 August 2016 (online)

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Abstract

We developed a new minimally invasive thoracoscopic technique of extended thymectomy for myasthenia gravis by combining a subxiphoid incision with dual costal margin incisions. In our experience of 31 consecutive cases, this procedure provides a good operative view in the neck region and makes verification of the bilateral phrenic nerves easy. All the patients recovered smoothly with less trauma, less bleeding, less complication, and good cosmetic results. This modified transsubxiphoid approach is a satisfactory procedure for performing extended thymectomy in patients with myasthenia gravis.

Keywords

mediastinal - minimally invasive thoracoscopic technique - thoracoscopic/VATS - mediastinum
 

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