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https://www.readbyqxmd.com/read/27672105/port-site-implantation-of-type-a-masaoka-stage%C3%A2-i-thymoma-after-video-assisted-thoracic-surgery-a-case-report
#1
Naohiro Nose, Kazuhiro Higuchi, Eiichi Chosa, Takanori Ayabe, Masaki Tomita, Kunihide Nakamura
A 60-year-old woman was referred to our hospital with an anterior mediastinal tumor measuring 3.5 cm in diameter on computed tomography (CT). We performed tumor resection by video-assisted thoracic surgery (VATS) with three ports. The final diagnosis was Type A Masaoka Stage I thymoma. On follow-up CT performed 36 months after the operation, two pleural tumors were detected at the port sites through which the forceps and ultrasonic scalpel had passed repeatedly during the operation. We therefore performed a second operation and enucleated the tumors while preserving the ribs...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27627742/robotics-in-pulmonology-and-thoracic-surgery-what-why-and-when
#2
Konstantinos Gioutsos, Gregor J Kocher, Ralph A Schmid
INTRODUCTION: Robot-assisted surgery emerged and evolved in order to increase the surgical precision and due to the need to overcome the drawbacks of conventional minimally invasive surgery. In thoracic surgery the first reported use of a robotic device was in a series of 12 patients with different lung pathologies with the assistance of the DaVinci Robotic Surgical System in 2002. The DaVinci system has been used for various procedures in the field of thoracic surgery since then. While its advantages for the resection of early stage thymoma have been well documented, its role in the treatment of lung cancer and other pathologies is still under investigation...
December 2016: Panminerva Medica
https://www.readbyqxmd.com/read/27500535/early-stage-thymoma-is-vats-the-new-standard-of-care
#3
COMMENT
Hasan Fevzi Batirel
No abstract text is available yet for this article.
July 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27339722/-perioperative-outcomes-and-long-term-survival-in-clinically-early-stage-thymic-%C3%A2-malignancies-video-assisted-thoracoscopic-thymectomy-versus-open-approaches
#4
Hao Wang, Zhitao Gu, Jianyong Ding, Lijie Tan, Jianhua Fu, Yi Shen, Yucheng Wei, Peng Zhang, Yongtao Han, Chun Chen, Renquan Zhang, Yin Li, Ke-Neng Chen, Hezhong Chen, Yongyu Liu, Youbing Cui, Yun Wang, Liewen Pang, Zhentao Yu, Xinming Zhou, Yangchun Liu, Yuan Liu, Wentao Fang
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). METHODS: Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study...
July 20, 2016: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/27199379/catastrophes-during-video-assisted-thoracoscopic-thymus-surgery-for-myasthenia-gravis
#5
Berker Özkan, Alper Toker
OBJECTIVES: Several series have demonstrated that video-assisted thoracoscopic (VAT) thymectomy is feasible and safe. However, VAT thymectomy is an operation that could invite catastrophes, such as major vascular injuries. We aimed to analyse the events and define the management and outcomes of these serious complications. METHODS: All patients who underwent VAT thymectomy/thymothymectomy recorded in our clinical database were evaluated. A catastrophic complication was defined as any situation that resulted in an additional unplanned major surgical procedure other than the planned closed thymic surgery...
September 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27114834/perioperative-outcomes-and-long-term-survival-in-clinically-early-stage-thymic-malignancies-video-assisted-thoracoscopic-thymectomy-versus-open-approaches
#6
Hao Wang, Zhitao Gu, Jianyong Ding, Lijie Tan, Jianhua Fu, Yi Shen, Yucheng Wei, Peng Zhang, Yongtao Han, Chun Chen, Renquan Zhang, Yin Li, Keneng Chen, Hezhong Chen, Yongyu Liu, Youbing Cui, Yun Wang, Liewen Pang, Zhentao Yu, Xinming Zhou, Yangchun Liu, Yuan Liu, Wentao Fang
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, long-term outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). METHODS: Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study...
April 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27014472/subxiphoid-and-subcostal-arch-thoracoscopic-extended-thymectomy-a-safe-and-feasible-minimally-invasive-procedure-for-selective-stage-iii-thymomas
#7
Jinbo Zhao, Juzheng Wang, Zhengwei Zhao, Yong Han, Lijun Huang, Xiaofei Li, Qiang Lu, Yongan Zhou
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) has been applied to resection of small and well-encapsulated thymomas. However, few data are available regarding to the application of VATS in stage III thymomas. METHODS: A novel subxiphoid and subcostal arch approach for thoracoscopic extended thymectomy was developed by us. From January 2014 to August 2015, 14 patients with stage III thymoma were treated by using this new technique in the Department of Thoracic Surgery, Tangdu hospital, Xi'an, China...
March 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26984980/comparative-study-for-surgical-management-of-thymectomy-for-non-thymomatous-myasthenia-gravis-from-the-french-national-database-epithor
#8
Bastien Orsini, Nicola Santelmo, Pierre Benoit Pages, Jean Marc Baste, Marcel Dahan, Alain Bernard, Pascal Alexandre Thomas
OBJECTIVES: Thymectomy may be part of the therapeutic strategy in patients with myasthenia gravis (MG) without thymoma. Median sternotomy is still considered as the gold standard, but during the last 15 years, several groups have demonstrated the non-inferiority of cervicotomy with upper sternotomy and minimally invasive techniques. To date, there is no consensus on surgical procedure choice. The aim of our study was to compare the morbidity and mortality of three techniques [cervicotomy with upper sternotomy versus sternotomy versus video-assisted thoracic surgery (VATS)/robotic-assisted thoracic surgery (RATS)] from the national database EPITHOR and to analyse French epidemiology...
September 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26943686/cavernous-hemangioma-in-the-thymus-a-case-report
#9
Naoko Ose, Yuko Kobori, Yukiyasu Takeuchi, Yoshiyuki Susaki, Seiji Taniguchi, Hajime Maeda
Cavernous hemangioma is not a neoplasm, but rather a congenital venous malformation with the potential to develop in all parts of the body, though it is very rarely seen in the thymus. We report a case of cavernous hemangioma in the thymus partially resected. A 71-year-old woman presented with pericardial discomfort, and chest computed tomography (CT) showed a left lateral mediastinal mass which was 2.0 × 1.2 × 1.8 cm in size, with border regularity and without calcification. Its interior was partially enhanced...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/26904429/video-assisted-thoracoscopic-surgery-versus-sternotomy-in-thymectomy-for-thymoma-and-myasthenia-gravis
#10
Adnan Raza, Edwin Woo
Thymectomy involves the removal of all the soft tissue in the pre-vascular plane of the anterior mediastinum between the two phrenic nerves. Surgical success in controlling myasthenia and the most important factor influencing survival in patients with thymoma depends on complete clearance of thymic tissue. Currently there is a perception that the open (median sternotomy) approach offers better visualisation of the thymic tissue. This perceived advantage is thought to justify the invasive nature of the procedure associated with increased morbidity...
January 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693150/video-assisted-thoracic-surgery-vats-for-recurrent-thymoma
#11
Giuseppe Marulli, Giovanni Maria Comacchio, Federico Rea
Between 10-30% of patients that undergo a radical operation for thymoma develop a recurrence in a variable range of time. The surgical treatment of thymoma relapses is an established and effective therapeutic approach, particularly for a single intrathoracic recurrence; however, no agreement has been reached on the best surgical approach and the extent of surgical resection, particularly in the most common event of pleural relapses. In the era of minimally invasive approach for most thoracic pathologies, the role of the video assisted thoracic surgery (VATS) approach for thymoma recurrence resection is still unclear and controversial: to date, only few authors have reported in their series a thoracoscopic resection of pleuro-pulmonary relapses, mostly when a single lesion was present...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693149/standardized-definitions-and-policies-of-minimally-invasive-thymoma-resection
#12
Alper Toker
A wide range of technical approaches for the minimally invasive resection of thymus have been described. Most of the time, the benefits are superior cosmetic outcome and shorter duration of postoperative stay. Other demonstrable differences that have been reported include shorter duration of surgery, less intraoperative blood loss and less postoperative pleural drainage. Robotic surgery and video-assisted surgery (VATS) may become routinely used procedures in the treatment of stage I and II thymomas.
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693147/minimally-invasive-thymectomy-the-mayo-clinic-experience
#13
Phillip G Rowse, Anja C Roden, Frank M Corl, Mark S Allen, Stephen D Cassivi, Francis C Nichols, K Robert Shen, Dennis A Wigle, Shanda H Blackmon
BACKGROUND: The prevalence of minimally invasive thymectomy (MIT) is increasing and may have significant benefit to patients in terms of morbidity and post-operative recovery. Our aim was to review the Mayo Clinic experience of MIT. METHODS: We reviewed data from all MIT cases collected in a prospectively maintained database from January 1995 to February 2015. Data were collected regarding patient demographics, perioperative management and patient outcomes. RESULTS: A total of 510 thymectomies were performed in 20 years...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693145/video-assisted-thoracoscopic-surgery-versus-open-thymectomy-for-thymoma-a-systematic-review
#14
REVIEW
Ashleigh Xie, Richard Tjahjono, Kevin Phan, Tristan D Yan
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) thymectomy is an increasingly utilized alternative to traditional open approaches for the resection of thymomas. Recent studies have suggested comparable survival and oncological efficacy as well as reduced perioperative morbidity when using the VATS approach. This current systematic review thus aimed to critically evaluate existing evidence for the efficacy and safety of VATS versus open (transsternal or transthoracic) thymectomy for thymomas...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26380477/-vats-thymectomy-in-myasthenia-gravis-treatment-a-case-report
#15
Dragan Krnić, Joško Juričić, Nenad Ilić, Antonio Jerčić
Myasthenia gravis (MG) is a chronic autoimmune disease characterized by weakness of skeletal muscles, specifically ocular. Relationship between the thymus gland and MG is not fully understood yet. Thymectomy is recommended for individuals with thymoma, but should be considered in all patients under 60 years of age with generalized MG in cases with no thymomatous tissue. We report a 27-year-old female patient with ocular type myasthenia gravis and radiological findings of anterior mediastinal mass, treated by VATS thymectomy...
May 2015: Lijec̆nic̆ki Vjesnik
https://www.readbyqxmd.com/read/25629459/long-term-outcome-for-early-stage-thymoma-comparison-between-thoracoscopic-and-open-approaches
#16
COMPARATIVE STUDY
Pio Maniscalco, Nicola Tamburini, Francesco Quarantotto, William Grossi, Elena Garelli, Giorgio Cavallesco
BACKGROUND: Complete surgical excision is the most important long-term prognostic factor of thymomas. Although video-assisted thoracoscopic surgery (VATS) has been reported as an effective treatment to excise mediastinal thymic lesions, it has not replaced median sternotomy as the standard approach because of the lack of long-term follow-up studies. The objective of this study was to analyze and to compare the outcome of VATS extended thymectomy with the traditional open approach. METHODS: This is a single center's retrospective study of 27 patients submitted to surgery for early stage thymomas between 1995 and 2007...
April 2015: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/25487544/improved-procedures-and-comparative-results-for-video-assisted-thoracoscopic-extended-thymectomy-for-myasthenia-gravis
#17
COMPARATIVE STUDY
Tomoyuki Nakagiri, Masayoshi Inoue, Yasushi Shintani, Soichiro Funaki, Tomohiro Kawamura, Masato Minami, Mitsunori Ohta, Yoshihisa Kadota, Hiroyuki Shiono, Meinoshin Okumura
INTRODUCTION: We previously introduced video-assisted thoracoscopic ET (VATS-ET) as a therapeutic option for MG with acceptable results. We have conducted further investigations to improve the procedure without deterioration of operative results, including myasthenia gravis (MG) remission rate and palliation rate. Here, we report the details of our current procedure, as well as surgical results and patient outcomes as compared with the original VATS-ET procedure. MATERIAL AND METHODS: From January 2002 to September 2013, we performed a VATS-ET procedure with an anterior chest wall lifting method for 77 patients who had MG with or without a thymoma...
September 2015: Surgical Endoscopy
https://www.readbyqxmd.com/read/25463359/bilateral-video-assisted-thoracoscopic-thymectomy-for-masaoka-stage-iiia-thymomas
#18
Guofei Zhang, Wenshan Li, Ying Chai, Ming Wu, Baiqin Zhao, Junqiang Fan, Sai Zhang, Gang Shen
BACKGROUND: Larger invasive thymomas are generally resected via an open approach with thoracotomy or sternotomy. Following accumulation of experience and modifications to the technique, certain invasive tumors can be safely resected by video-assisted thoracic surgery (VATS) without resorting to sternotomy. PATIENTS AND METHODS: Thirteen consecutive patients with large invasive thymomas, who underwent bilateral VATS thymectomy, were analyzed retrospectively. RESULTS: All patients underwent radical en bloc resection of the tumor and the involved structures, without breaching the tumor capsule or tumor seeding...
April 2015: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/25270635/synchronous-thymoma-and-lung-adenocarcinoma-treated-with-a-single-mini-invasive-approach
#19
Giampiero Dolci, Andrea Dell'Amore, Nizar Asadi, Guido Caroli, Domenico Greco, Franco Stella, Alessandro Bini
A 75 year-old man with a lesion in the middle lobe of the lung was discovered to also have, during the follow-up period, a mass in the mediastinum, diagnosed as a multi-thymic cyst. Both pathologies were successfully treated with a single surgical approach by video-assisted thoracoscopy. We performed a middle VATS lobectomy with complete lymphadenectomy followed by radical thymectomy without additional incision. The postoperative course was uneventful.
January 2015: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/25256127/long-term-outcomes-after-thoracoscopic-resection-of-stage-i-and-ii-thymoma-a-propensity-matched-study
#20
Yin-Kai Chao, Yun-Hen Liu, Ming-Ju Hsieh, Yi-Cheng Wu, Tzu-Ping Chen, Ming-Shian Lu, Hung-I Lu, Hui-Ping Liu
PURPOSE: The use of video-assisted thoracoscopic surgery (VATS) in patients with thymoma remains controversial. We sought to evaluate the perioperative and oncological outcomes after VATS resection for stage I and II thymoma and to compare the outcomes with those obtained after median sternotomy (MST). METHODS: Between 1991 and 2007, a total of 140 patients with stage I and II thymoma underwent surgery at the Chang Gung Memorial Hospital. Of them, 58 underwent MST, 61 VATS, and 21 thoracotomy...
April 2015: Annals of Surgical Oncology
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