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A Journal on Surgery

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Chirurgia 2006 April;19(2):149-55

language: Italian

Video-thoracoscopic thymectomy

Taruffi F., Pantalone D., Santoni S., Paolucci R., Andreoli F.

Dipartimento di Area Critica Medico Chirurgica Università degli Studi di Firenze, Firenze


Aim. The objective is to study the impact of traditional and videoassisted thymectomy on the incidence of remission of patients with M.G.
Methods. The general conditions of our patients were evaluated by means of a retrospective telephon questionnaire. 17 patients (12 female and 5 Males) referred for thymectomy between June 1994 and Januay 2002 were included in the analysis. Transternal and videotoracoscopic thymectomies were performed.
Results. In the latter a minimal cervical incision is perforrned to withdraw the specimem that is dissected free through three bilateral thoracic trocars. Good results were achieved in 87,5% with complete (31%) and partial (56%) remission of syntoms.
Conclusions. Minimally invasive thymectomies seem to give the same results than more invasive procedures and are associated with very little morbidity and very low complication rate; cosmetical results are excellent. Important favourable prognostic factors are young age and a short time between diagnosis and surgery.

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