Department of Surgery, Oregon Health & Sciences University, Portland Veterans Affairs Medical Center, L223A, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Thorac Surg Clin. 2010 May;20(2):235-43. doi: 10.1016/j.thorsurg.2010.02.004.
This article describes surgery using a transcervical approach with thoracoscopic visualization. The video-assisted extended approach is well suited for patients undergoing thymectomy for myasthenia gravis, thymic cysts, small thymoma, or mediastinal parathyroid adenoma. It incorporates the minimally invasive nature of the transcervical method with the extensive anterior mediastinal dissection, while allowing for complete removal of the thymus and anterior mediastinal fat and avoiding the morbidity of a sternotomy.
本文介绍了经颈入路联合胸腔镜可视化技术的手术方法。该视频辅助的扩展入路非常适合接受胸腺切除术治疗重症肌无力、胸腺囊肿、小胸腺瘤或纵隔甲状旁腺腺瘤的患者。它结合了经颈方法的微创性和广泛的前纵隔解剖,同时可以完全切除胸腺和前纵隔脂肪,避免了胸骨切开术的发病率。