[Robot-assisted Extended Thymectomy via a Bilateral Approach for Patients with Myasthenia Gravis].
Shota NakamuraKeita NakanishiYuka KadomatsuHarushi UenoTaketo KatoToyofumi F Chen-YoshikawaPublished in: Kyobu geka. The Japanese journal of thoracic surgery (2023)
Extended thymectomy is a procedure to remove the thymus gland and surrounding adipose tissue, while the traditional approach via a median sternotomy, minimally invasive approaches such as video-assisted thoracoscopic surgery (VATS) and robot-assisted thoracoscopic surgery (RATS) have been adopted. This report described the technique of bilateral approach for extended thymectomy in patients with myasthenia gravis (MG) by robot-assisted thoracoscopic surgery, and also showed the perioperative outcomes and postoperative exacerbation rates of 11 patients. In most patients, score of MG symptom were reduced and levels of anti-acetylcholine receptor antibodies declined postoperatively. In a small number of cases, the safety and efficacy of a RATS bilateral approach for extended thymectomy were confirmed.
Keyphrases
- robot assisted
- minimally invasive
- myasthenia gravis
- end stage renal disease
- adipose tissue
- ejection fraction
- newly diagnosed
- chronic kidney disease
- patients undergoing
- peritoneal dialysis
- intensive care unit
- heart failure
- type diabetes
- case report
- coronary artery disease
- chronic obstructive pulmonary disease
- cardiac surgery
- patient reported
- aortic stenosis
- skeletal muscle
- weight loss
- acute kidney injury
- aortic valve replacement
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- percutaneous coronary intervention
- high fat diet