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Disadvantages of Unilateral Videothoracoscopic Thymectomy


Authors: J. Tvrdoň;  J. Schützner;  J. Piťha *
Authors‘ workplace: III. chirurgická klinika FNM, l. LF UK Praha ;  Neurologická klinika VFN, centrum Mysthenia gravis Praha *
Published in: Rozhl. Chir., 2009, roč. 88, č. 5, s. 235-237.
Category: Monothematic special - Original

Overview

The authors highlight disadvantages of the unilateral videothoracic approach in thymectomy procedures. They present a case-review of a young female patient, indicated for the procedure for myastenia gravis. In these patients, the primary objective is to remove all the thymus tissue and the surrounding adipose tissue within the anterior mediastinum, which, using the above approach cannot always be guaranteed. Considering the number of patients indicated for the procedure based on the above diagnosis, it is inevitable to perform the procedures in specialized centres, experienced with these conditions.

Key words:
Myasthenia gravis – videothoracoscopy – disadvantages – risks


Sources

1. Schützner, J., Šmat, V. Myasthenia gravis. Komplexní pojetí a chirurgická léčba. Praha, Galén, 2005.

2. Schützner, J., Tvrdoň, J., Šmat, V., Pafko, P. Postavení chirurga v léčbě Myasthenia gravis a thymomu. Čas. Lék. Českých, č. 4, 2004: 241–245.

3. Mitták, M., Kretek, J., Hamžík, J., Guziana, P. Torakoskopická tymektomie – iniciální zkušenosti. Rozhl. Chir., 2008, roč. 87, č. 9, 452–455.

4. Bachmann, K., Burkhardt, D., Schreiter, I., Kaifi, J., Busch, C, Thayssen, G., Izbicki, J. R., Strate, T. Long-term outcome and quality of life after open and thoracoscopic thymectomy for myasthenia gravis: analysis of 131 patients. Surf. Endosc., 2008, 23., Epub.

Labels
Surgery Orthopaedics Trauma surgery
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