keyword
https://read.qxmd.com/read/35895535/az-unilateralis-videoassziszt%C3%A3-lt-torakoszk%C3%A3-pos-thymomaelt%C3%A3-vol%C3%A3-t%C3%A3-s-javallata-korai-%C3%A3-s-k%C3%A3-z%C3%A3-pt%C3%A3-v%C3%A3%C2%BA-eredm%C3%A3-nyei
#21
JOURNAL ARTICLE
József Kas, Levente Bogyó, Csaba Fehér, Áron Ghimessy, Balázs Gieszer, Luca Karskó, Lóránt Kecskés, Viktor Lungu, László Mészáros, Ágoston Pataki, Péter Radetzky, Róbert Szegedi, Bernadett Tallósy, Klári Török, Attila Vágvölgyi, János Fillinger, Tünde Harkó, Ibolya Soltész, Erika Tóth, Csilla Rózsa, Jenő Elek, Erna Ganovszky, László Agócs, Ferenc Rényi-Vámos, Ákos Kocsis
No abstract text is available yet for this article.
June 20, 2022: Magyar Sebészet
https://read.qxmd.com/read/35894814/complete-resolution-of-paraneoplastic-syndrome-of-inappropriate-antidiuretic-hormone-secretion-following-thymic-small-cell-carcinoma-thoracoscopic-resection
#22
JOURNAL ARTICLE
Pouya Hemmati, Stephen D Cassivi
Thymic neuroendocrine tumors (TNET) are rare anterior mediastinal neoplasms often associated with paraneoplastic syndromes. A patient presented with intractable hyponatremia and a Dotatate-avid mediastinal mass. Following medical optimization, she underwent thoracoscopic thymectomy with en-bloc thymic small cell carcinoma resection. Her symptoms resolved and sodium levels normalized. In localized disease, curative-intent, minimally invasive TNET resection is safe and effective following preoperative staging and paraneoplastic syndrome management...
July 27, 2022: Interactive Cardiovascular and Thoracic Surgery
https://read.qxmd.com/read/35822441/non-intubated-uniportal-subxiphoid-video-assisted-thoracoscopic-surgery-for-extended-thymectomy-in-myasthenia-gravis-patients-a-case-series
#23
Marc Hartert, Jan Tripsky, Andreas Brandt, Martin Huertgen
Minimally invasive strategies are increasingly popular in patients with myasthenia gravis (MG)-associated thymomas. Within the context of video-assisted thoracoscopic surgery (VATS) as a widely known minimally invasive option, the most recent achievement is uniportal subxiphoid VATS. In MG patients, it is mandatory (1) to minimize perioperative interference with administered anesthetics to avoid complications and (2) to achieve a complete surgical resection, as the prognosis essentially depends on radical tumor resection...
July 13, 2022: Journal of chest surgery
https://read.qxmd.com/read/35800735/assessment-of-length-of-stay-and-cost-of-minimally-invasive-versus-open-thymectomies-in-patients-with-myasthenia-gravis-in-florida
#24
JOURNAL ARTICLE
Rocio Castillo-Larios, Daniel Hernandez-Rojas, Aaron C Spaulding, Alejandra Yu Lee-Mateus, Priyanka Pulipaka, Dorin T Colibaseanu, Mathew Thomas, Sebastian Fernandez-Bussy, Ian A Makey
Background: Thymectomy has become a standard component in treatment for myasthenia gravis. The best surgical approach is still subject to debate. Minimally invasive surgery may have a lower mortality and morbidity rate, improved cosmetic results, and equivalent efficacy at improving neurologic symptoms to open approaches. We compared the perioperative outcomes and cost between the two techniques. Methods: We queried Florida Inpatient Discharge Dataset for patients who underwent thymectomy and had a primary diagnosis of non-thymomatous myasthenia gravis using International Classification of Diseases (ICD)-9 and ICD-10 codes to carry out this retrospective cohort study...
June 2022: Gland Surgery
https://read.qxmd.com/read/35780415/thymoma-and-myasthenia-gravis-an-observational-study-at-a-tertiary-center
#25
JOURNAL ARTICLE
Margarida Dias, José Lourenço Rosa, Mafalda Soares, Andreia Fernandes, Manuel Manita, João Maciel, Paulo Calvinho
INTRODUCTION: Acquired Myasthenia Gravis (MG) is a rare autoimmune neurological disorder characterized by fluctu- ating paresis of the skeletal muscle due to pathogenic antibodies against the acetylcholine receptor or other elements of the neuromuscular plaque. There is a close relation between MG and thymoma. We aimed to characterize a population of patients with Myasthenia Gravis associated thymoma (MGAT). METHODS: Retrospective and longitudinal study in all patients with MGAT observed at a tertiary center between 2009 and 2020...
July 3, 2022: Port J Card Thorac Vasc Surg
https://read.qxmd.com/read/35776206/subxiphoid-and-subcostal-arch-versus-unilateral-video-assisted-thoracic-surgery-approaches-to-thymectomy-for-myasthenia-gravis
#26
JOURNAL ARTICLE
Yujiang Li, Zhenhui Huang, Wohua Han, Jingquan Yuan, Ruiwen Xie, Guobiao Cheng, Xi'an Huang, Yuliang Guo, Mongying Sun, Yali Liu, Xu Wu, Jianping Zhou
PURPOSE: Thymectomy is an important treatment for myasthenia gravis (MG). We conducted this study to compare the clinical outcomes of the recently introduced subxiphoid and subcostal arch thymectomy (SASAT) approach with those of the standard unilateral video-assisted thoracoscopic surgery (VATS). METHODS: We analyzed, retrospectively, the perioperative, and long-term outcomes of 179 consecutive MG patients (age 18-65 years), who underwent SASAT or unilateral VATS-extended thymectomy between July, 2012 and May, 2019...
July 1, 2022: Surgery Today
https://read.qxmd.com/read/35693590/thoracic-surgery-in-estonia
#27
REVIEW
Tanel Laisaar
Estonia, a small Northern European country with the population of 1.3 million, has two centres of thoracic surgery, both established in 1960s. One is in the capital Tallinn, and another in the university town Tartu. Both departments cover the full spectrum of thoracic surgery, apart from oesophageal cancer surgery, yet including paediatric operations and chest trauma management. However, the focus is on lung cancer surgery. Currently, the proportion of lung cancer cases treated surgically is 20% in Estonia...
May 2022: Journal of Thoracic Disease
https://read.qxmd.com/read/35594786/a-case-of-uniportal-vats-thymectomy-for-thymoma-associated-with-myasthenia-gravis-and-toxic-multinodular-goiter
#28
JOURNAL ARTICLE
Osama N Dukmak, Ruba Dweik, Nadeen Hashlamoun, Rahaf Qawasmeh, Mohammad Eid Al Mohtasib, Yousef Abu Asbeh
BACKGROUND: Thymoma is a rare neoplasm, which may be associated with autoimmune disorders, the occurrence of hyperthyroidism in the patients with thymoma is rare. CLINICAL PRESENTATION: Here we present an extremely rare case of a 56-year-old female patient who was discovered to have malignant thymoma with associated myasthenia gravis and hyperthyroidism due to toxic multinodular goiter. Our patient started to complain of difficulty breathing and swallowing, Chest CT scan was done and revealed an anterior mediastinal mass, measures about 4...
June 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/35477780/minimally-invasive-thymectomy-the-best-option-for-early-and-locally-advanced-epithelial-thymomas
#29
EDITORIAL
Antonio Alvarez, Paula Moreno
No abstract text is available yet for this article.
August 3, 2022: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/35413097/preclinical-evaluation-of-versius-an-innovative-device-for-use-in-robot-assisted-thoracic-surgery
#30
JOURNAL ARTICLE
Giuseppe Aresu, Joel Dunning, Tom Routledge, Patrick Bagan, Mark Slack
OBJECTIVES: The adoption of robot-assisted thoracic surgery (RATS) has helped to overcome some of the challenges associated with surgeons performing conventional video-assisted thoracic surgery. The Versius Surgical System (CMR Surgical, Cambridge, UK) has been developed iteratively in line with surgical team feedback to improve the surgeon's experience and patient outcomes. The goal of this study was to assess the use of the device in RATS in a preclinical setting and to fulfil Idea, Development, Exploration, Assessment, Long-Term Follow Up-Devices stage 1 (Idea)...
April 12, 2022: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/35070894/minimally-invasive-thymectomy-for-myasthenia-gravis-a-7-year-retrospective-study
#31
JOURNAL ARTICLE
Jian Gao, Chun Jin, Yong-Qiang Ao, Jie Tang, Jian-Yong Ding, Ji-Hong Dong, Jia-Hao Jiang
BACKGROUND: Thymectomy has been identified as an effective strategy for patients with myasthenia gravis (MG) and thymic masses. However, the best surgical approach remains a matter of debate. The aim of the present study was to compare the surgical and neurological outcomes of video-assisted thoracoscopic thymectomy with a modified subxiphoid and bilateral approach in patients with MG and thymic masses. METHODS: From August 2013 to April 2018, 68 patients who were diagnosed with MG and thymic masses and underwent video-assisted thoracoscopic thymectomy with a modified subxiphoid (44 patients) or bilateral (24 patients) approach were included in this retrospective study...
December 2021: Gland Surgery
https://read.qxmd.com/read/35017401/factors-predicting-perioperative-outcomes-in-patients-with-myasthenia-gravis-or-thymic-neoplasms-undergoing-thymectomy-by-video-assisted-thoracoscopic-approach
#32
JOURNAL ARTICLE
B Vigneshwaran, Sanjeev Kumar Bhoi, Mukund Namdev Sable, Dillip Muduly, Mahesh Sultania, Menkha Jha, Sudipta Mohakud, Madhabananda Kar
BACKGROUND: The purpose of this study was to identify the factors which predict the perioperative outcomes after video-assisted thoracoscopic surgery (VATS) thymectomy in patients with myasthenia gravis (MG) or thymic neoplasms. PATIENTS AND METHODS: Data of consecutive patients who had undergone VATS thymectomy in our institution from August 2016 to April 2018 were collected retrospectively from a prospectively maintained database followed by prospective recruitment of patients who underwent VATS thymectomy from April 2018 to February 2020...
January 2022: Journal of Minimal Access Surgery
https://read.qxmd.com/read/34991188/comparison-of-two-lung-and-one-lung-ventilation-in-bilateral-video-assisted-thoracoscopic-extended-thymectomy-in-myasthenia-gravis-a-retrospective-study
#33
JOURNAL ARTICLE
Mijung Yun, Gunn Hee Kim, Sung-Chul Ko, Yun Jae Han, Wooshik Kim
Background: Myasthenia gravis (MG) is an autoimmune disease, and early thymectomy is recommended. Since the introduction of video-assisted thoracoscopic surgery, the safety and effectiveness of carbon dioxide insufflation in the thoracic cavity (capnothorax) has been controversial. This study aimed to compare the safety and effectiveness of ventilation methods in bilateral video-assisted thoracoscopic extended thymectomy (BVET) with capnothorax. Methods: We retrospectively investigated the medical records of patients with MG who underwent BVET between August 2016 and January 2018...
January 6, 2022: Anesthesia and pain medicine
https://read.qxmd.com/read/34886860/non-intubated-uniportal-subxiphoid-thoracoscopic-extended-thymectomy-for-thymoma-associated-with-myasthenia-gravis
#34
JOURNAL ARTICLE
Zhengcheng Liu, Louqian Zhang, Weifeng Tang, Rusong Yang
BACKGROUND: To describe a technique of non-intubated uniportal subxiphoid thoracoscopic extended thymectomy. METHODS: Data were collected retrospectively. A single 3-cm transverse incision was made below the xiphoid process. This method for extended thymectomy entails adoption of uniportal subxiphoid VATS combined with using of non-intubated anesthesia for thymoma associated with myasthenia gravis. RESULTS: Ten consecutive patients underwent this procedure successfully...
December 9, 2021: World Journal of Surgical Oncology
https://read.qxmd.com/read/34806328/robot-assisted-thoracic-surgery-versus-video-assisted-thoracic-surgery-for-treatment-of-patients-with-thymoma-a-systematic-review-and-meta-analysis
#35
COMPARATIVE STUDY
Cheng Shen, Jialong Li, Jue Li, Guowei Che
BACKGROUND: Surgical resection of the thymus is indicated in the presence of primary thymic diseases such as thymoma. Video-assisted thoracoscopic surgery (VATS) and robot-assisted thoracic surgery (RATS) offer a minimally invasive approach to thymectomy. However, there is no clear conclusion whether RATS can achieve an equal or even better surgical effect when compared with VATS in treatment of thymoma. We performed this meta-analysis to explore and compare the outcomes of RATS versus VATS for thymectomy in patients with thymoma...
January 2022: Thoracic Cancer
https://read.qxmd.com/read/34533876/complications-of-robot-assisted-thymectomy-a-single-arm-meta-analysis-and-systematic-review
#36
REVIEW
Jia-Xin Xu, Kai Qian, Yi Deng, Yan-Yan Zheng, Chun-Mei Ou, Jie Liu, Li-Hong Jiang
BACKGROUND: Recently, thymectomy using minimally invasive approaches has been increasing with the development of robotic video-assisted thoracoscopic surgery (R-VATS). Although multimodal approach is effective for robot assisted thymectomy, it is necessary to determine the approach (left, right or subxiphoid) associated with the least complications. METHODS: An electronic retrieval from PubMed, Embase, Web of Science, GreyNet International and The Cochrane Library...
December 2021: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://read.qxmd.com/read/34532476/a-novel-method-of-subxiphoid-video-assisted-thoracic-surgery-for-thymectomy
#37
JOURNAL ARTICLE
Lei Gao, Jieming Lu, Zhimin Shen, Hongbo Chen, Mingqiang Kang
Background: With advances in thoracoscopic surgical instruments and techniques, subxiphoid video-assisted thoracic surgery (S-VATS) has become the main approach for anterior mediastinal tumor resection under thoracoscopy. However, the drawbacks of S-VATS, including it being a relatively unfixed surgical procedure, make it complicated and difficult for unexperienced surgeons to master. Methods: This study retrospectively reviewed and analyzed consecutive patients with anterior mediastinal tumor or myasthenia gravis (MG) who underwent S-VATS at the Fujian Medical University Union Hospital, China, between March 2015 and April 2019...
August 2021: Annals of Translational Medicine
https://read.qxmd.com/read/34527555/examination-on-the-necessity-of-pericardial-fat-tissue-resection-in-extended-thymectomy-for-myasthenia-gravis
#38
JOURNAL ARTICLE
Katsuhiro Okuda, Hideo Hattori, Keisuke Yokota, Tsutomu Tatematsu, Tadashi Sakane, Risa Oda, Takuya Matsui, Ryoichi Nakanishi
BACKGROUND: Extended thymectomy with pericardial fat tissue resection has been a mainstay in the treatment for myasthenia gravies (MG), but few studies have examined the necessity of the pericardial fat tissue resection in extended thymectomy. METHODS: We pathologically examined the distribution of germinal centers in the resected thymus including the thymus-surrounding fat tissue. Patients who underwent extended thymectomy using subxiphoid thoracoscopy for generalized MG or thymoma with anti-acetylcholine receptor antibody (anti-AchR Ab) positivity from March 2015 to January 2021 were included in this study...
August 2021: Gland Surgery
https://read.qxmd.com/read/34521142/unilateral-thoracoscopic-thymectomy-for-thymoma-does-side-matter-a-single-institutional-experience
#39
JOURNAL ARTICLE
Nicola Tamburini, Francesco D'Urbano, Francesco Bagolini, Giulia Salerno Trapella, Francesco Quarantotto, Giorgio Cavallesco, Pio Maniscalco
BACKGROUND:  Thoracoscopic thymectomy is increasingly performed for the treatment of early stage thymoma. It is characterized by shorter postoperative hospital stay, decreased intraoperative blood loss, and fewer complications compared with transsternal thymectomy. Unilateral video-assisted thoracic surgery (VATS) thymectomy can be easily performed from either side of the thorax, because thymus is located in the middle of mediastinum. However, the side that provides better outcomes remains controversial...
September 14, 2021: Thoracic and Cardiovascular Surgeon
https://read.qxmd.com/read/34363446/-long-term-outcomes-of-thoracoscopic-thymectomy-for-thymoma-stage-i-ii
#40
JOURNAL ARTICLE
A V Podobed
OBJECTIVE: To compare long-term outcomes of video-assisted thoracoscopic (VATS) and conventional open surgery in patients with early-stage (Masaoka stage I-II) thymic malignancies. MATERIAL AND METHODS. A: Retrospective study included p atients after VATS and open thymectomy for the period 2000-2019. Long-term outcomes were analyzed. RESULTS: VATS thymectomy was performed in 53 (54.1%) patients, open thymectomy - in 45 (45.9%) cases. Median follow-up period was 66...
2021: Khirurgiia
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