| [Minimally invasive surgery for thymic disease]. | |
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MedLine Citation:
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PMID: 23023539 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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This study describes minimally invasive surgery using video-assisted thoracic surgery (VATS) for thymic diseases. Our procedure has been changed in the last decade from sternum-lifting thoracoscopic surgery with mini-thoracotomy to complete thoracoscopic surgery. Indications for this method include benign thymic disease, non-invasive thymoma or myasthenia gravis (MG). We performed these procedures for 27 cases, including 12 cases of thymic cyst, 10 cases of thymoma without MG, 3 cases of thymoma with MG and 2 cases of MG alone. In all cases of thymoma, tumor size was less than 5 cm. Complete VATS, VATS with mini-thoracotomy and sternum-lifting VATS were performed in 20, 4 and 3 patients, respectively. Complications were phrenic nerve palsy in 2 cases and postoperative bleeding in 1 case. We always use ultrasonic devices in this procedure. No recurrences have been identified in any cases. Even though definitive evidence is lacking for use of a unilateral approach with VATS for thymoma and MG, VATS thymectomy appears acceptable as a less-invasive procedure with less pain and rapid recovery. |
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Authors:
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Keitaro Matsumoto; Naoya Yamasaki; Tomoshi Tsuchiya; Takuro Miyazaki; Tomayoshi Hayashi; Tsutomu Tagawa; Takeshi Nagayasu |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: Kyobu geka. The Japanese journal of thoracic surgery Volume: 65 ISSN: 0021-5252 ISO Abbreviation: Kyobu Geka Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0413533 Medline TA: Kyobu Geka Country: Japan |
Other Details:
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Languages: jpn Pagination: 955-9 Citation Subset: IM |
Affiliation:
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Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University School of Biomedical Sciences, Nagasaki, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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