Jackson Anee Sophia, Devulapalli Chris, Lowe Alexa, Bragado Abigael, De Marchi Lorenzo, Marshall M Blair
Division of Thoracic Surgery, Department of Surgery, Medstar Georgetown University Hospital, Washington, DC, 20007, USA.
Clinical Nursing, Department of Surgery, Medstar Georgetown University Hospital, Washington, DC, 20007, USA.
J Vis Surg. 2017 Apr 10;3:47. doi: 10.21037/jovs.2017.02.13. eCollection 2017.
Video-assisted thoracic surgery (VATS) for the management of non-thymomatous myasthenia gravis (MG) as well as the management of small thymomas and other benign thymic pathology has been gaining in acceptance and popularity as an alternative to the traditional median sternotomy approach. Although VATS thymectomy has been described in several variations, our current preference is a left sided VATS approach due to the exposure it provides in critical areas of dissection. Here we describe our technique for the left sided VATS thymectomy including patient selection, preoperative preparation, operative steps, and postoperative care. We also share pitfalls and tips to prevent them at each step of the procedure learned from our experience with this approach.
电视辅助胸腔镜手术（VATS）用于治疗非胸腺瘤性重症肌无力（MG）以及小型胸腺瘤和其他良性胸腺病变，作为传统正中胸骨切开术的替代方法，其接受度和普及度正在不断提高。尽管已经描述了几种不同的VATS胸腺切除术，但由于其在关键解剖区域提供的暴露，我们目前更倾向于左侧VATS入路。在此，我们描述左侧VATS胸腺切除术的技术，包括患者选择、术前准备、手术步骤和术后护理。我们还分享了从我们使用这种方法的经验中学到的在手术每个步骤中可能出现的问题及预防技巧。
