Surgical Techniques for Myasthenia Gravis Robotic-Assisted Thoracoscopic Surgery

被引:15
作者
Li, Feng [1 ]
Ismail, Mahmoud [1 ]
Elsner, Aron [1 ]
Uluk, Deniz [1 ]
Bauer, Gero [1 ]
Meisel, Andreas [2 ]
Rueckert, Jens-C. [1 ]
机构
[1] Charite, Competence Ctr Thorac Surg, Dept Surg, Charitepl 1, D-10117 Berlin, Germany
[2] Charite, Dept Neurol Berlin, Charitepl 1, D-10115 Berlin, Germany
关键词
Robotic-assisted thoracoscopic surgery; Thymectomy; Myasthenia gravis; Thymoma; EARLY-STAGE THYMOMA; BILATERAL APPROACH; THYMECTOMY; OUTCOMES;
D O I
10.1016/j.thorsurg.2018.12.006
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Robotic-assisted thoracoscopic surgery (RATS) creates an extended approach for thymectomy in terms of locating contralateral phrenic nerve and upper poles of the thymus. RATS thymectomy is indicated in all non-thymomatous myasthenia gravis (MG) patients and thymomatous MG patients with resectable thymoma, typically Masaoka-Koga I and II. Left-sided RATS thymectomy is superior for anatomic reasons and in the special care patients with MG. Up to now, left-sided three-trocar RATS thymectomy is the perfect combination of radical resection and minimal invasiveness among various approaches for thymectomy.
引用
收藏
页码:177 / +
页数:11
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