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First experience of robotic extended thymectomy in Japan for myasthenia gravis with thymoma
- Source :
- General Thoracic and Cardiovascular Surgery. 60:183-187
- Publication Year :
- 2012
- Publisher :
- Springer Science and Business Media LLC, 2012.
-
Abstract
- We performed robot (da Vinci)-assisted thoracoscopic extended thymectomy (rThx) for myasthenia gravis with thymoma. The patient was a 66-year-old woman who complained of palpebral heaviness. Robotic operation was performed in the supine position by placing four ports in the right chest wall under 10 mmHg CO(2) insufflation using three arms and one assist port. Compared with conventional video-assisted thoracic surgery (VATS), the bilateral upper horns, fat around the diaphragm, and aortopulmonary window could be resected more easily. The tumor measured 41 mm maximum diameter and was diagnosed as type AB noninvasive thymoma. The operating time was 298 min, console operating time was 203 min, and the amount of bleeding was small. The postoperative course was uneventful with no complications. This is a report of the first Japanese case of rThx for myasthenia gravis. rThx is a promising technique, and further improvement in the procedure is expected.
- Subjects :
- Pulmonary and Respiratory Medicine
Insufflation
medicine.medical_specialty
Supine position
Thymoma
medicine.medical_treatment
Patient Positioning
Aortopulmonary window
Japan
Myasthenia Gravis
medicine
Humans
Neoplasms, Glandular and Epithelial
Aged
Thoracic Surgery, Video-Assisted
business.industry
Robotics
Thymus Neoplasms
General Medicine
Thymectomy
medicine.disease
Magnetic Resonance Imaging
Myasthenia gravis
Cardiac surgery
Surgery
Treatment Outcome
Surgery, Computer-Assisted
Cardiothoracic surgery
Female
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 18636713 and 18636705
- Volume :
- 60
- Database :
- OpenAIRE
- Journal :
- General Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....7d92e5a97933d5e8346feba37946e0f4