Zhong Yonglong, Zhou Yifan, Jiang Lingyu, Lin Hui, Li Xiangwei, Wen Zhaoke, Long Xiaomao, Luo Jinlong
Department of Thoracic Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi.
Intensive Care Unit, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi.
Thorac Cardiovasc Surg. 2017 Apr;65(3):250-254. doi: 10.1055/s-0036-1586136. Epub 2016 Aug 10.
We developed a new minimally invasive thoracoscopic technique of extended thymectomy for myasthenia gravis by combining a subxiphoid incision with dual costal margin incisions. In our experience of 31 consecutive cases, this procedure provides a good operative view in the neck region and makes verification of the bilateral phrenic nerves easy. All the patients recovered smoothly with less trauma, less bleeding, less complication, and good cosmetic results. This modified transsubxiphoid approach is a satisfactory procedure for performing extended thymectomy in patients with myasthenia gravis.
我们通过将剑突下切口与双侧肋缘切口相结合，开发了一种用于重症肌无力的新型微创胸腔镜扩大胸腺切除术技术。根据我们连续31例病例的经验，该手术在颈部区域提供了良好的手术视野，便于双侧膈神经的确认。所有患者均顺利康复，创伤小、出血少、并发症少，美容效果良好。这种改良的经剑突下入路是重症肌无力患者进行扩大胸腺切除术的一种令人满意的手术方法。
