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Thymectomy for myasthenia gravis: Video-assisted versus transsternal
- Source :
- Journal of the Formosan Medical Association, Vol 113, Iss 10, Pp 722-726 (2014)
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Background/Purpose Thymectomy may benefit patients with generalized myasthenia gravis (MG) or myasthenia with thymomas. Currently, video-assisted (VA) thoracic surgery is popular and plays an important role in thymectomy. We compared the clinical outcomes of VA thymectomy with conventional transsternal (TS) approach to investigate the effectiveness of VA technology in the current era. Methods A retrospective review of our thymectomy results for patients with MG from 1998 to 2011 was conducted. A total of 83 consecutive patients were enrolled. According to the surgeons’ and patients’ preference, 39 patients received conventional TS thymectomy and 44 were operated on in a VA fashion. The results were categorized and analyzed according to the Myasthenia Gravis Foundation of America (MGFA) postintervention statuses with some modification. Results No obvious difference between conventional TS thymectomy and VA thymectomy was noted regarding the remission statuses and the clinical outcomes by the modified MGFA score. However, the patients who received VA thymectomy showed shorter intensive care unit (ICU) stays (4.2 ± 3.3 days vs. 2.3 ± 1.5 days, p = 0.001). Conclusion Compared with the conventional TS thymectomy, the VA approach is similarly effective with shorter ICU stays.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Severity of Illness Index
law.invention
law
medicine
Humans
Video assisted
Generalized myasthenia
thymectomy
Retrospective Studies
Medicine(all)
Retrospective review
lcsh:R5-920
myasthenia gravis
Thoracic Surgery, Video-Assisted
business.industry
Remission Induction
General Medicine
Length of Stay
Middle Aged
medicine.disease
Sternotomy
Intensive care unit
Myasthenia gravis
Surgery
Thymectomy
Intensive Care Units
Treatment Outcome
Cardiothoracic surgery
video-assisted surgery
Anesthesia
Female
business
lcsh:Medicine (General)
Subjects
Details
- ISSN :
- 09296646
- Volume :
- 113
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of the Formosan Medical Association
- Accession number :
- edsair.doi.dedup.....12574aa149698254d3e10f9bb3633f1d
- Full Text :
- https://doi.org/10.1016/j.jfma.2014.05.010