一位八旬老人的门诊电视辅助胸腔镜胸腺切除术
Outpatient video-assisted thoracoscopic thymectomy in an octogenarian.
作者信息
Lushina Nadia, Hynes Conor F, Marshall M Blair
机构信息
Division of Thoracic Surgery, Department of Surgery, Georgetown University Medical Center, Washington, DC, USA.
出版信息
J Vis Surg. 2016 Nov 30;2:168. doi: 10.21037/jovs.2016.11.05. eCollection 2016.
Video-assisted thoracoscopic thymectomy has gained acceptance for the treatment of small thymomas. Appropriately selected elderly patients may benefit as much as younger patients from this procedure. Specific benefits of minimally invasive surgery include shorter hospital stays, decreased complications and improved oncologic outcomes. Outpatient thoracic surgery is an established model for some procedures. In this report, we present an 80-year-old patient with an enlarging 2.5 cm thymoma who successfully underwent an outpatient right video-assisted thoracoscopic thymectomy at our institution. The patient's postoperative course was uncomplicated. He continues to do well 3 years after his surgery. To our knowledge, this is the first reported outpatient video-assisted thoracoscopic thymectomy in an octogenarian.
电视辅助胸腔镜胸腺切除术已被广泛接受用于治疗小型胸腺瘤。适当选择的老年患者可能与年轻患者一样从该手术中获益。微创手术的具体益处包括住院时间缩短、并发症减少以及肿瘤学结局改善。门诊胸外科手术是某些手术的既定模式。在本报告中，我们介绍了一名80岁的患者，其2.5 cm的胸腺瘤不断增大，在我们机构成功接受了门诊右侧电视辅助胸腔镜胸腺切除术。患者术后过程顺利。术后3年他仍状况良好。据我们所知，这是首次报道的80岁患者门诊电视辅助胸腔镜胸腺切除术。
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