Department of Surgery, University of California San Diego School of Medicine, San Diego, CA 92103, USA.
Thorac Surg Clin. 2011 Feb;21(1):69-83, vii. doi: 10.1016/j.thorsurg.2010.08.005.
Thymectomy for thymoma has traditionally been performed through a transsternal approach because of the excellent exposure that that the median sternotomy provides. Minimally invasive alternatives, such as transcervical thymectomy, video-assisted thymectomy, and robotic thymectomy, have not been extensively evaluated for this disease process. It is uncertain which patients may benefit from minimally invasive approaches and data regarding the oncologic effectiveness of these techniques remains to be established. However, given the excellent capability of these techniques to perform a complete and extensive thymectomy, there does appear to be a role for minimally invasive thymectomy in the treatment of thymoma.
胸腺瘤的传统胸腺切除术是通过胸骨正中切开术进行的，因为这种方法提供了极好的显露。对于这种疾病过程，微创替代方法，如经颈胸腺切除术、电视辅助胸腺切除术和机器人胸腺切除术，尚未得到广泛评估。目前还不确定哪些患者可能从微创方法中获益，并且这些技术的肿瘤学有效性数据仍有待确定。然而，鉴于这些技术进行完整和广泛的胸腺切除术的出色能力，微创胸腺切除术似乎在胸腺瘤的治疗中确实有一定的作用。
