Petersen René Horsleben
Department of Cardiothoracic Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Ann Cardiothorac Surg. 2016 Jan;5(1):51-5. doi: 10.3978/j.issn.2225-319X.2016.01.02.
The continuous development and refinement of minimally invasive approaches to thymectomy over the last two decades has potential benefits for patients in terms of better cosmesis, less postoperative pain, shorter length of stay, earlier return to daily activities, less bleeding and fewer complications overall with similar outcomes regarding survival, recurrence of thymoma and complete remission (CR) for myasthenia gravis patients. A variety of different approaches have been described previously. This is a detailed description of video-assisted thoracoscopic thymectomy using three 5 mm ports, carbon dioxide (CO2) insufflation and bipolar electrocoagulation (LigaSure).
在过去二十年中,胸腺切除术的微创方法不断发展和完善,对于患者而言具有潜在益处,包括更好的美容效果、更少的术后疼痛、更短的住院时间、更早恢复日常活动、更少的出血以及总体更少的并发症,同时在生存、胸腺瘤复发和重症肌无力患者的完全缓解(CR)方面具有相似的结果。此前已经描述了多种不同的方法。本文详细描述了使用三个5毫米端口、二氧化碳(CO2)充气和双极电凝(LigaSure)的电视辅助胸腔镜胸腺切除术。