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Date Published:
05/11/2020
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Views PDF: 69
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Research Article
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Khanh, N. ., Nam, N. V. ., Trung, N. N., Anh, L. V., Binh, T. T., Hau, L. H., Hai, V. A., Nghia, D. T. ., Nguyen, P. D. ., & Giang, N. T. (2020). The initial results of thoracoscopic thymectomy for thymoma in military hospital 103. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 22, 48-53. https://doi.org/10.47972/vjcts.v22i.420
The initial results of thoracoscopic thymectomy for thymoma in military hospital 103
Main Article Content
Abstract
53 thymoma patients with or without myasthenia gravis (MG) who underwent VATS thymectomy in Military hospital 103, from 10/2013 to 07/2017. The mean age was 46.5 – 7.1; the male/female ratio was 1.2; MG was presented in 84.9% of patients, mostly at MG stage IIA. There was no in-hospital mortality or major postoperative complication. The mean operative time was 65 mins, intensive care length of stay 22 – 5hrs, and postoperative in-hospital length of stay 7.5 – 1.7 days. Thoracoscopic thymectomy for thymoma in Vietnamese patients achieved better cosmesis, and was safe for both non-MG and MG patients.
Article Details
Keywords
thoracoscopic surgery, myasthenia gravis, thymoma.
References
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2. Anthony P.C Yim, Richard L.C.Kay, Mohammad Bashar Izzat. Video-assisted thoracoscopic thymectomy for myasthenia gravis. Chest 1995;108: 1440–1443.
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4. Drachman DB, Mcintosh KR, Silva S, Kuncl RW, Kahn C (1988). "Strategies for the Treament of Myasthenia Gravis", Ann NY Acad. Sci, 540, pp. 176-183.
5. Detterbeck FC. Clinical value of the WHO classification system of thymoma. Ann Thorac Surg 2006; 81: 2328-2334.
6. Liu GB, Qu YJ, Liao MY, Hu HJ, Yang GF, Zhou SJ. Relationship Between CT Manifestations of Thymic Epithelial Tumors and the WHO Pathological Classification; Asian Pacific Journal of Cancer Prevention, Vol 13, 2012.
7. Loscertales J, Jiménez Merchán R, Arenas Linares CJ, García Díaz F, Girón Arjona JC, Congregado Loscertales M, Martínez Parra C, Izquierdo Ayuso G (1999), “The treatment of myasthenia gravis by video thoracoscopic thymectomy”, The technic and the initial results, Arch Bronconeumol.
8. Jeong YJ, Lee KS, Kim J, Shim YM, Han J, Kwon OJ. Does CT of Thymic Epithelial Tumors Enable Us to Differentiate Histologic Subtypes and Predict Prognosis? AJR Am J Roentgenal 2004; 183: 283-289.
9. Kyriakos Anastasiadis, Chandi Ratnatunga (2007). The Thymus Gland Diagnosis and Surgical Management, Springer-Verlag Berlin Heidelberg, pp.70-74.
10. Mack M.J, Landreneau R.J., Yim A.P., Hazelrigg S.R., Scruggs G (1996) “Results of video-assisted thymectomy in patients with myasthenia gravis”, JThorac Cardiovasc Surg, 112 (5), pp. 1352-60.
11. Mack M.J, Scruggs G (1998), “Video- assited thoracic surgery thymecthomy for myasthenia gravis”, Chest surg clin north america, 8 (4), pp. 809-25.
12. Mineo TC, PompeoE., Ambrogi V, Sabato AF, Bernardig (1996) “Adjuvantpneumomediastinumin thoracoscopic thymectomy for Myasthenia gravis” Ann Thoracsurg 62, pp.853-9.
13. Mineo TC, Pompeo E, Lerut TE, Bernardi G, Coosemans W, Nofroni I. Thoracoscopic thymectomy in autoimmune myasthenia: results of lef-sided approach. Ann Torac Surg 2000; 69:1537–1541.
14. Popescu I, Tomulescu V, Ion V, Tulbure D (2002), “Thymectomy by thoracoscopic approach in myasthenia gravis”. Surgery Endoscopic.
15. Rea F., Bortolottil, Firardir., et al (2003), “Thoracoscopic thymectomy with “ Da Vinci” Surgical System in patient with Myasthenia gravis”, Interact Cardiovasthoracsurg, PP. 70 -72.
16. Strollo DC, Rosado de Christenson ML, Jett JR. (1997). Primary mediastinal tumors. Part 1: Tumors of the anterior mediastinum. Chest 1997; 112:511-22.
17. Tomiyama N, Johkoh T, Mihara N, et al. Using the World Health Organization Classification of thymic epithelial neoplasms to describe CT findings. AJR Am J Roentgenal 2002; 179: 881-886.
18. Tommaso Claudio Mineo, MD, Eugenio Pompeo, MD, Vincenzo Ambrogi, MD, Alessandro F. Sabato, MD, Giorgio Bernardi, MD, Carlo U. Casciani, MD (1996), “Adjuvant Pneumomediastinum in Thoracoscopic Thymectomy for Myasthenia Gravis”, Ann Thorac Surg, 62, pp. 1210- 1212.
19. Yoshino I., Hashizume M., Shimada M., Tomikawa M., Tomiyasu M., Suemitsu R, Sugimachi K (2001), “Thoracoscopic thymectomy with the da Vinci computer- enhanced surgical system”, J thorac Cardiovasc Surg, 122(4), pp. 783-5.
2. Anthony P.C Yim, Richard L.C.Kay, Mohammad Bashar Izzat. Video-assisted thoracoscopic thymectomy for myasthenia gravis. Chest 1995;108: 1440–1443.
3. Anthony P. Yim (1999). Thoracoscopy and video-assisted thoracic surgery.
4. Drachman DB, Mcintosh KR, Silva S, Kuncl RW, Kahn C (1988). "Strategies for the Treament of Myasthenia Gravis", Ann NY Acad. Sci, 540, pp. 176-183.
5. Detterbeck FC. Clinical value of the WHO classification system of thymoma. Ann Thorac Surg 2006; 81: 2328-2334.
6. Liu GB, Qu YJ, Liao MY, Hu HJ, Yang GF, Zhou SJ. Relationship Between CT Manifestations of Thymic Epithelial Tumors and the WHO Pathological Classification; Asian Pacific Journal of Cancer Prevention, Vol 13, 2012.
7. Loscertales J, Jiménez Merchán R, Arenas Linares CJ, García Díaz F, Girón Arjona JC, Congregado Loscertales M, Martínez Parra C, Izquierdo Ayuso G (1999), “The treatment of myasthenia gravis by video thoracoscopic thymectomy”, The technic and the initial results, Arch Bronconeumol.
8. Jeong YJ, Lee KS, Kim J, Shim YM, Han J, Kwon OJ. Does CT of Thymic Epithelial Tumors Enable Us to Differentiate Histologic Subtypes and Predict Prognosis? AJR Am J Roentgenal 2004; 183: 283-289.
9. Kyriakos Anastasiadis, Chandi Ratnatunga (2007). The Thymus Gland Diagnosis and Surgical Management, Springer-Verlag Berlin Heidelberg, pp.70-74.
10. Mack M.J, Landreneau R.J., Yim A.P., Hazelrigg S.R., Scruggs G (1996) “Results of video-assisted thymectomy in patients with myasthenia gravis”, JThorac Cardiovasc Surg, 112 (5), pp. 1352-60.
11. Mack M.J, Scruggs G (1998), “Video- assited thoracic surgery thymecthomy for myasthenia gravis”, Chest surg clin north america, 8 (4), pp. 809-25.
12. Mineo TC, PompeoE., Ambrogi V, Sabato AF, Bernardig (1996) “Adjuvantpneumomediastinumin thoracoscopic thymectomy for Myasthenia gravis” Ann Thoracsurg 62, pp.853-9.
13. Mineo TC, Pompeo E, Lerut TE, Bernardi G, Coosemans W, Nofroni I. Thoracoscopic thymectomy in autoimmune myasthenia: results of lef-sided approach. Ann Torac Surg 2000; 69:1537–1541.
14. Popescu I, Tomulescu V, Ion V, Tulbure D (2002), “Thymectomy by thoracoscopic approach in myasthenia gravis”. Surgery Endoscopic.
15. Rea F., Bortolottil, Firardir., et al (2003), “Thoracoscopic thymectomy with “ Da Vinci” Surgical System in patient with Myasthenia gravis”, Interact Cardiovasthoracsurg, PP. 70 -72.
16. Strollo DC, Rosado de Christenson ML, Jett JR. (1997). Primary mediastinal tumors. Part 1: Tumors of the anterior mediastinum. Chest 1997; 112:511-22.
17. Tomiyama N, Johkoh T, Mihara N, et al. Using the World Health Organization Classification of thymic epithelial neoplasms to describe CT findings. AJR Am J Roentgenal 2002; 179: 881-886.
18. Tommaso Claudio Mineo, MD, Eugenio Pompeo, MD, Vincenzo Ambrogi, MD, Alessandro F. Sabato, MD, Giorgio Bernardi, MD, Carlo U. Casciani, MD (1996), “Adjuvant Pneumomediastinum in Thoracoscopic Thymectomy for Myasthenia Gravis”, Ann Thorac Surg, 62, pp. 1210- 1212.
19. Yoshino I., Hashizume M., Shimada M., Tomikawa M., Tomiyasu M., Suemitsu R, Sugimachi K (2001), “Thoracoscopic thymectomy with the da Vinci computer- enhanced surgical system”, J thorac Cardiovasc Surg, 122(4), pp. 783-5.
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