Kết quả phẫu thuật điều trị u tuyến ức tại bệnh viện hữu nghị Việt đức
Main Article Content
Abstract
Objectives: To evaluate the results of thoracic thoracic surgery for thymus tumors at Viet Duc University Hospital. Subjects and methods: Retrospective descriptive study of 53 patients with thymus tumors underwent thymectomy at Viet Duc University Hospital from 2016 to 2020. Results: Including 30 men and 23 women. Average age 42.04 ± 19.13 (9 - 78). 5 out of 53 cases of disease were detected by health check (9.4%). Symptoms of chest pain at examination were 15/53 (28.3%). Myasthenia gravis was 22/53 (41.5%). Minimum tumor size 3 x 2 x 1cm; The largest tumor size is 11 x 8 x 6 cm. Operative time: 111 ± 59 minutes (43 - 348). The average drainage time: 4.79 ± 1.9 days (2-13). The average hospital time 6.9 ± 2.9 days (4-18). There was no postoperative death. One patient had dialysis after operation. Anatomical results of thymus tumor: 14 types A, 13 type AB, 09 type B1, 10 type B2, 04 type B3, 03 squamous cell carcinoma. Conclusion: Surgical treatment of thymus tumor is a safe, highly feasible and postoperative method
Article Details
Keywords
thymus tumor, thymectomy.
References
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Nguyễn Hữu Ước và CS (2014) “ Kết quả phẫu
thuật nội soi lồng ngực điều trị u tuyến ức tại
bệnh viện Việt Đức” Tạp chí phẫu thuật tim mạch
và lồng ngực Việt Nam số 9, tháng 8/2014: 28-33
6. Li, Y., & Wang, J. (2014). Left-sided
approach video-assisted thymectomy for the
treatment of thymic diseases. World journal of
surgical oncology, 12(1), 398.
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"Thoracoscopic thymectomy in autoimmune
myasthenia: results of left-sided approach." The
Annals of thoracic surgery 69.5 (2000): 1537-1541.
8. N. Girard, E. Ruffini, A. Marx, C.
Faivre-Finn & S. Peters (2015). “Thymic epithelial
tumours: ESMO Clinical Practice Guidelines for
diagnosis, treatment and follow-up”, Annals of
Oncology 26 (Supplement 5): 40 – 55.
9. Nicholas R. Hess, Inderpal S.
Sarkaria, Arjun Pennathur, Ryan M. Levy,
Neil A. Christie, James D. Luketich (2016).
“Minimally invasive versus open thymectomy: a
systematic review of surgical techniques, patient
demographics, and perioperative outcomes”, Ann
Cardiothorac Surg; 5(1): 1 – 9
S. Santos, and Rodney J. Landreneau (2005),
"Video – assisted thoracic surgery for mediastinal
tumors and other diseases within the mediastinum",
General Thoracic Surg; 2: 2455 – 2476
2. Beau V. Duwe, Daniel H. Sterman and
Ali I. Musani (2005), “Tumors of the
Mediastinum”, Chest 128; 2893-2909
3. Masato Sasaki, Seiya Hirai,
Masakazu, Kawabe, Takahiko Uesaka,
Kouichi Morioka, Akio Ihaya, Kuniyoshi
Tanaka (2005), “Triagle target principle for the
placement of trocars during video – assisted
thoracic surgery”, European Journal of Cardio –
Thoracic Surgery; 27: 307 – 312
4. Frank W. Sellke; Pedro J. del Nido;
Scott J. Swanson (2005), “Thymic tumors”,
Sabiston & Spencer’s Surgery of the Chest 8th
Edition; Elsevier & Saunders: 640 – 647
5. Phạm Hữu Lư, Ngô Gia Khánh,
Nguyễn Hữu Ước và CS (2014) “ Kết quả phẫu
thuật nội soi lồng ngực điều trị u tuyến ức tại
bệnh viện Việt Đức” Tạp chí phẫu thuật tim mạch
và lồng ngực Việt Nam số 9, tháng 8/2014: 28-33
6. Li, Y., & Wang, J. (2014). Left-sided
approach video-assisted thymectomy for the
treatment of thymic diseases. World journal of
surgical oncology, 12(1), 398.
7. Mineo, Tommaso C., et al.
"Thoracoscopic thymectomy in autoimmune
myasthenia: results of left-sided approach." The
Annals of thoracic surgery 69.5 (2000): 1537-1541.
8. N. Girard, E. Ruffini, A. Marx, C.
Faivre-Finn & S. Peters (2015). “Thymic epithelial
tumours: ESMO Clinical Practice Guidelines for
diagnosis, treatment and follow-up”, Annals of
Oncology 26 (Supplement 5): 40 – 55.
9. Nicholas R. Hess, Inderpal S.
Sarkaria, Arjun Pennathur, Ryan M. Levy,
Neil A. Christie, James D. Luketich (2016).
“Minimally invasive versus open thymectomy: a
systematic review of surgical techniques, patient
demographics, and perioperative outcomes”, Ann
Cardiothorac Surg; 5(1): 1 – 9
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