American journal of surgery · 2010
Comparison of open and minimally invasive thymectomies at a single institution.
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Youssef Samuel J, Louie Brian E, Farivar Alexander S, Blitz Maurice, Aye Ralph W, Vallières Eric
Аннотация
BACKGROUND: Most thymectomies are performed via sternotomy. Minimally invasive thymectomy (MIT) has been described but its potential benefits and drawbacks remain unclear.
METHODS: A retrospective chart review comparing thymectomies performed via sternotomy to MIT at a single institution between 2005 and 2009.
RESULTS: Eight patients underwent MIT and 8 patients underwent sternotomy in the management of myasthenia gravis, thymic hyperplasia, or small thymic tumors. There was 1 perioperative death unrelated to the surgical procedure and no morbidity. The surgical time, estimated blood loss, and chest tube output was similar in both groups. The average hospital stay for MIT was 2.4 days compared with 4.3 days for sternotomy. One MIT patient remained on narcotic pain medication 2 weeks after surgery compared with 6 in the open group.
CONCLUSIONS: MIT can be performed with similar morbidity and efficacy as transsternal thymectomy. Patients require fewer narcotics and can be discharged earlier.
METHODS: A retrospective chart review comparing thymectomies performed via sternotomy to MIT at a single institution between 2005 and 2009.
RESULTS: Eight patients underwent MIT and 8 patients underwent sternotomy in the management of myasthenia gravis, thymic hyperplasia, or small thymic tumors. There was 1 perioperative death unrelated to the surgical procedure and no morbidity. The surgical time, estimated blood loss, and chest tube output was similar in both groups. The average hospital stay for MIT was 2.4 days compared with 4.3 days for sternotomy. One MIT patient remained on narcotic pain medication 2 weeks after surgery compared with 6 in the open group.
CONCLUSIONS: MIT can be performed with similar morbidity and efficacy as transsternal thymectomy. Patients require fewer narcotics and can be discharged earlier.
Предметные рубрики MeSH
AdultAgedChi-Square DistributionCohort StudiesFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresMyasthenia GravisPostoperative PainPostoperative ComplicationsProbabilityRetrospective StudiesRisk AssessmentRoboticsStatistics, NonparametricSternotomySurvival RateThoracic Surgery, Video-AssistedThymectomyThymus NeoplasmsTreatment OutcomeYoung Adult