Vasil'ev V N
Vestn Khir Im I I Grek. 1984 Apr;132(4):29-33.
The surgical anatomy of the thymus was studied intraoperatively in 220 myasthenia patients without tumors during extended thymectomy. An atypical disposition of the whole thymus (Ist variant) or its upper pole only (IInd and IIIrd variants) behind the left brachio -cephalic vein was noted in 8% of cases; mediastinal localization of the thymus (IVth variant) in 13,6% of observations; cervical localization (Vth variant) in 6,9%. Only the right lobe of the thymus ( VIth variant) or only the left lobe (VIIth variant) were found in 4,5% of observations. The technique of extended thymectomy with most frequent variants of the surgical anatomy of the thymus in patients with myasthenia is described.
在220例无肿瘤的重症肌无力患者行扩大胸腺切除术时，术中研究了胸腺的手术解剖结构。8%的病例中发现整个胸腺（第I型变异）或仅其上极（第II型和第III型变异）位于左头臂静脉后方；13.6%的观察结果显示胸腺位于纵隔（第IV型变异）；6.9%位于颈部（第V型变异）。4.5%的观察结果中仅发现胸腺右叶（第VI型变异）或仅左叶（第VII型变异）。描述了重症肌无力患者中胸腺最常见手术解剖变异的扩大胸腺切除术技术。
