Non-intubated uniportal subxiphoid thoracoscopic extended thymectomy for thymoma associated with myasthenia gravis

World Journal of Surgical Oncology

Zhengcheng Liu¹  Weifeng Tang¹  Louqian Zhang¹  Rusong Yang¹ 

[1] Department of Cardiovascular and Thoracic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 210029, Nanjing, China;

关键词: Non-intubated;    Uniport;    Subxiphoid;    Thymectomy;    Myasthenia gravis;   

DOI  :  10.1186/s12957-021-02430-z

来源: Springer

【 摘 要 】

BackgroundTo describe a technique of non-intubated uniportal subxiphoid thoracoscopic extended thymectomy.MethodsData were collected retrospectively. A single 3-cm transverse incision was made below the xiphoid process. This method for extended thymectomy entails adoption of uniportal subxiphoid VATS combined with using of non-intubated anesthesia for thymoma associated with myasthenia gravis.ResultsTen consecutive patients underwent this procedure successfully. Mean operative time was 102.5 min. Conversion to intubated ventilation or thoracotomy was not required.Mean chest tube duration was 3.5 days. Mean postoperative hospital stay was 4.7 days. Histologic examination showed early-stage thymomas. Side effects were rare. Quantitative MG scores decreased during follow-up.ConclusionsPatients were uneventfully discharged with fast recovery. This technique may merge the potential benefits of a subxiphoid incision and the non-intubated anesthesia protocol.

【 授权许可】

CC BY