PMID: 11906423Mar 22, 2002Paper

Paradigm shift in surgical approaches to thymectomy

ANZ Journal of Surgery
Anthony Yim

Abstract

Thymectomy is an established therapy in the management of myasthenia gravis (MG) used in conjunction with medical treatment. The optimal surgical approach to thymectomy, however, has remained controversial. The present review discusses the author's experiences of and the literature regarding the management of MG using the video-assisted thoracic surgery (VATS) approach. This approach was shown to be technically safe in experienced hands and associated with less postoperative pain, better preservation of lung function in the early postoperative period and better cosmetic results than alternative techniques. The intermediate term results of VATS are comparable to those of more radical approaches. It is hoped that this patient-friendly approach will lead to greater support by patients and their neurologists, for earlier surgery. VATS is an attractive, alternative approach to thymectomy.

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Citations

Jul 31, 2013·Neurocritical Care·Axel Petzold, Armand Girbes
Mar 22, 2002·ANZ Journal of Surgery·C Peter Clarke
Mar 23, 2012·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Cameron P KeatingGavin M Wright
Feb 3, 2016·Journal of Pediatric Surgery·Awais AshfaqDavid M Notrica
Aug 28, 2012·Seminars in Thoracic and Cardiovascular Surgery·Victor Tomulescu, Irinel Popescu
May 25, 2010·The Annals of Thoracic Surgery·Calvin S H NgAnthony P C Yim
Jan 1, 2008·Seminars in Thoracic and Cardiovascular Surgery·Shannon L Castle, Kemp H Kernstine
Jan 18, 2006·Journal of Pediatric Surgery·Amy J WagnerHanmin Lee
Nov 6, 2012·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Nahum NesherYosef Paz

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