Zhang Xuefei, Gu Zhitao, Fang Wentao
Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China.
J Thorac Dis. 2018 Jun;10(Suppl 14):S1666-S1670. doi: 10.21037/jtd.2018.05.168.
Surgery is the most important therapy for thymic malignancies. The last decade has seen increasing adoption of minimally invasive thymectomy (MIT) for thymic tumors. MIT for early stage diseases has been shown to yield similar oncological results while being helpful in minimizing surgical trauma, improving postoperative recovery, and reducing incisional pain. Similar surgical and oncological principles should be observed in both minimally invasive and open procedures so as to ensure radical resection and accurate staging of the tumor.
手术是胸腺恶性肿瘤最重要的治疗方法。在过去十年中,微创胸腺切除术(MIT)在胸腺肿瘤治疗中的应用越来越广泛。对于早期疾病,MIT已被证明能产生相似的肿瘤学效果,同时有助于将手术创伤降至最低,改善术后恢复情况,并减轻切口疼痛。在微创和开放手术中都应遵循相似的手术和肿瘤学原则,以确保肿瘤的根治性切除和准确分期。