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首页> 外文期刊>Surgical Endoscopy >Operative technique for thoracoscopic thymectomy.
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Operative technique for thoracoscopic thymectomy.

机译：胸腔镜胸腺切除术的手术技术。

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摘要

In most cases, myasthenia gravis (MG) and thymoma require complete removal of the thymus gland and resection of the pericardial fatty tissue. There is some debate however, over which surgical approach is best for thymectomy. We have developed a new technique for complete thoracoscopic thymectomy. Between October 1994 and February 1998, we performed a prospective observational study of thoracoscopic thymectomy in 19 patients. The results were analyzed with special reference to perioperative morbidity, short- and intermediate-term improvement of MG, and quality of life. This study showed the feasibility of complete thoracoscopic thymectomy. The procedure was successfully applied in 19 of 20 cases. Thoracoscopic thymectomy was accomplished with zero mortality and a very low perioperative morbidity. While the short-term improvement of MG after this procedure was comparable to that seen with conventional surgery, the short- and intermediate-term quality of life was much better. The preliminary results of thoracoscopic thymectomy appear to be excellent for both patients and neurologists. A prospective randomized trial has been designed to compare thoracoscopic thymectomy with the gold standard of median sternotomy for thymectomy.
机译：在大多数情况下，重症肌无力（MG）和胸腺瘤需要完全切除胸腺并切除心包脂肪组织。然而，关于哪种手术方法最适合胸腺切除术仍有争议。我们已经开发了一种用于完成胸腔镜胸腺切除术的新技术。在1994年10月至1998年2月之间，我们对19例患者进行了胸腔镜胸腺切除术的前瞻性观察研究。分析结果时特别参考围手术期发病率，MG的短期和中期改善以及生活质量。这项研究表明了完全胸腔镜胸腺切除术的可行性。该程序已成功应用于20例中的19例。胸腔镜胸腺切除术实现了零死亡率和极低的围手术期发病率。尽管此手术后的MG短期改善与常规手术相当，但短期和中期的生活质量要好得多。胸腔镜胸腺切除术的初步结果对于患者和神经科医生而言都是极好的。设计了一项前瞻性随机试验，以比较胸腔镜胸腺切除术和胸腺切除术中位胸骨切开术的金标准。

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