Gonzalez-Rivas Diego, Wu Ching Feng, de la Torre Mercedes
Department of Thoracic Surgery, Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, CORUÑA, Spain.
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.
J Thorac Dis. 2017 Jun;9(6):E556-E559. doi: 10.21037/jtd.2017.05.06.
A rare case of a giant thymoma in a patient witness of Jehova treated by single port thoracoscopic resection is reported. A 78-year-old man with chest pain and mild dyspnea had been previously diagnosed with giant thymoma went to our hospital and asked for second opinion of operation. Computed tomography showed a 12.5 cm × 9.5 cm × 10 cm mass in the anterior mediastinum. Under the request of this patient, he is only willing to receive minimal invasive surgery without blood transfusion. Thirty-six hours after surgical resection, the patient safely discharged from our hospital without complication. Pathological diagnosis indicated a thymoma without capsular invasion, and a diagnosis of Masaoka stage I thymoma was made. Giant mediastinal thymoma is not rare, but how to perform minimal invasive surgery without complication and blood transfusion is a great challenge even for an experienced surgeon.
报告了一例经单孔胸腔镜切除治疗的耶和华见证人教派患者的巨大胸腺瘤罕见病例。一名78岁男性，有胸痛和轻度呼吸困难，此前被诊断为巨大胸腺瘤，前来我院寻求手术的二次意见。计算机断层扫描显示前纵隔有一个12.5 cm×9.5 cm×10 cm的肿块。应该患者要求，他只愿意接受微创手术且不输血。手术切除36小时后，患者安全出院，无并发症。病理诊断显示为无包膜侵犯的胸腺瘤，诊断为Masaoka I期胸腺瘤。巨大纵隔胸腺瘤并不罕见，但即使对于经验丰富的外科医生来说，如何进行无并发症且不输血的微创手术也是一个巨大的挑战。
