Masaoka A, Monden Y, Seike Y, Tanioka T, Kagotani K
Neurology. 1982 Jan;32(1):83-5. doi: 10.1212/wnl.32.1.83.
Among 137 thymectomized patients with nonthymomatous myasthenia gravis (MG), six were reoperations. Thymectomy had initially been performed by the transcervical approach, but was ineffective. Extended thymectomy was then performed by median sternotomy. The reoperations revealed residual thymus (average weight, 19 gm) in all cases. Postoperative courses were favorable in three patients and unfavorable in three others. The latter had received high-dose steroid therapy before the second operation. We conclude that total thymectomy by the transcervical approach is almost impossible, and that reoperation may accelerate improvement in some cases.
在137例接受胸腺切除术的非胸腺瘤性重症肌无力（MG）患者中，有6例进行了再次手术。胸腺切除术最初采用经颈入路，但效果不佳。随后通过正中胸骨切开术进行了扩大胸腺切除术。再次手术发现所有病例均有残留胸腺（平均重量为19克）。3例患者术后病程良好，另外3例不佳。后者在第二次手术前接受了大剂量类固醇治疗。我们得出结论，经颈入路进行全胸腺切除术几乎是不可能的，并且再次手术在某些情况下可能会加速病情改善。
