...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Bilateral video-assisted thoracoscopic thymectomy has a surgical extent similar to that of transsternal extended thymectomy with more favorable early surgical outcomes for myasthenia gravis patients.
【24h】

Bilateral video-assisted thoracoscopic thymectomy has a surgical extent similar to that of transsternal extended thymectomy with more favorable early surgical outcomes for myasthenia gravis patients.

机译：双边电视胸腔镜胸腺切除术的手术范围与胸骨后胸廓切除术相似，对重症肌无力患者的早期手术效果更好。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: This study aimed to introduce the authors' surgical technique of bilateral video-assisted thoracoscopic thymectomy (BVT) and to compare their early surgical results between BVT and transsternal extended thymectomy (T3-b thymectomy) for patients with myasthenia gravis (MG). METHODS: The records of 114 patients who underwent either BVT (n = 55) or T3-b thymectomy (n = 59) for MG were reviewed retrospectively between January 2006 and November 2009. RESULTS: No surgical mortality or major morbidity occurred in either group. There was no conversion to open thymectomy, and no statistical difference was found in operation time between the two groups (112.2 +/- 26.2 min for BVT vs. 130.7 +/- 27.3 min for T-3b; p = 0.908). The duration of the chest tube, the length of the intensive care unit (ICU) or hospital stay, and the duration of opioid use for pain control were shorter in BVT group. The estimated blood loss and the total amount of drainage were greater in the T3-b thymectomy group. The specimen weights retrieved by BVT (72.5 +/- 61.6 g) were similar to those retrieved by T3-b thymectomy (74.1 +/- 38.2 g, p = 0.63) in nonthymomatous MG. CONCLUSIONS: The BVT was a safe procedure with a surgical extent and amount similar to those of T-3b thymectomy and less invasive for patients with MG. Long-term follow-up assessment and more extensive data are mandatory to verify the early surgical outcomes.
机译：背景：这项研究旨在介绍作者的双边电视胸腔镜胸腺切除术（BVT）的外科手术技术，并比较他们在BVT和经胸骨后胸廓切除术（T3-b胸腺切除术）对重症肌无力（MG）患者的早期手术效果。方法：回顾性地回顾了2006年1月至2009年11月间行BVT（n = 55）或T3-b胸腺切除术（n = 59）的114例患者的病史。结果：两组均未发生手术死亡或重大发病。两组均无开胸手术的发生，两组之间的手术时间也无统计学差异（BVT为112.2 +/- 26.2分钟，而T-3b为130.7 +/- 27.3分钟; p = 0.908）。 BVT组的胸管持续时间，重症监护病房（ICU）或住院时间以及使用阿片类药物控制疼痛的时间较短。 T3-b胸腺切除术组的估计失血量和引流总量更大。在非胸腺型MG中，BVT取回的标本重量（72.5 +/- 61.6 g）与T3-b胸腺切除术取回的样品重量（74.1 +/- 38.2 g，p = 0.63）相似。结论：BVT是一种安全的手术方法，其手术范围和数量与T-3b胸腺切除术相似，对MG患者的侵入性较小。长期的随访评估和更广泛的数据对于验证早期手术结果是必不可少的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号