Khirurgiia · 2025
[Immediate results of thoracoscopic and open combined thymectomy: a two-center study].
СтатьяМногоцентровое исследованиеАннотация на английскомНазвание и аннотация: Перевод в очереди
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Podobed A V, Topolnitskiy E B, Shefer N A, Savchenko O G, Fesenko S V, Usoltseva S V
Аннотация
OBJECTIVE: To analyze the immediate results of thoracoscopic (video-assisted thoracoscopic thymectomy - VATS TE) and open combined thymectomy (OTE) for invasive thymomas.
MATERIAL AND METHODS: We retrospectively analyzed 64 patients with locally advanced thymus tumors who underwent surgical treatment in two specialized centers. Combined VATS TE (main group) was performed in 28 patients, OTE (control group) - in 45 patients. Immediate results of these interventions were estimated.
RESULTS: Surgery time was similar in both groups. VATS TE was associated with lower intraoperative blood loss (p<0.001), complication rate (p=0.011), duration of postoperative pleural drainage (p<0.001), ICU stay (p<0.001) and hospital stay (p=0.023). There was lower need for narcotic analgesics (p=0.039) and duration of regular pain medication intake (p<0.001).
CONCLUSION: Combined VATS TE is possible in certain patients with locally advanced thymus tumors and characterized by better immediate results compared to OTE. However, analysis of long-term results is necessary to determine the feasibility of combined VATS TE.
MATERIAL AND METHODS: We retrospectively analyzed 64 patients with locally advanced thymus tumors who underwent surgical treatment in two specialized centers. Combined VATS TE (main group) was performed in 28 patients, OTE (control group) - in 45 patients. Immediate results of these interventions were estimated.
RESULTS: Surgery time was similar in both groups. VATS TE was associated with lower intraoperative blood loss (p<0.001), complication rate (p=0.011), duration of postoperative pleural drainage (p<0.001), ICU stay (p<0.001) and hospital stay (p=0.023). There was lower need for narcotic analgesics (p=0.039) and duration of regular pain medication intake (p<0.001).
CONCLUSION: Combined VATS TE is possible in certain patients with locally advanced thymus tumors and characterized by better immediate results compared to OTE. However, analysis of long-term results is necessary to determine the feasibility of combined VATS TE.