NDLI: Bilateral single-port thoracoscopic extended thymectomy for management of thymoma and myasthenia gravis: case report

Content Provider	Springer Nature : BioMed Central
Author	Caronia, Francesco Paolo Fiorelli, Alfonso Arrigo, Ettore Trovato, Sebastiano Santini, Mario Monte, Attilio Ignazio Lo
Abstract	Background Video-assisted thoracoscopy is become a widely accepted approach for the resection of anterior mediastinal masses, including thymoma. The current trend is to reduce the number of ports and minimize the length of incisions to further decrease postoperative pain, chest wall paresthesia, and length of hospitalization. Herein, we reported an extended resection of thymoma in a patient with myasthenia gravis through an uniportal bilateral thoracoscopic approach. Case presentation A 74 years old woman with myasthenia gravis was referred to our attention for management of a 3.5 cm, well capsulate, thymoma. All laboratory and cardio-pulmonary tests were within normal; thus, she was scheduled for thymoma resection through an uniportal bilateral thoracoscopic approach. Under general anaesthesia and selective intubation, the patient was placed in a 60° right lateral decubitus. A 3 cm skin incision was performed in the fourth right intercostal space and, through that a 30° video-camera and working instruments were inserted without rib spreading. After complete dissection of the thymus and mediastinal fat, the contralateral pleura was opened, and, through that the specimen was pushed into the left pleural cavity. Then, the patient was placed in the left lateral decubitus. Similarly to the right side procedure, a 3-cm incision was performed in the fourth left intercostal space to complete thymic dissection and retrieve the specimen. No intraoperative and post-operative complications were found. The patient was discharged four days later. Pathological examination revealed a type A thymoma (Masaoka stage I). No recurrence was found at 18 months of follow-up Conclusions Bilateral single-port thoracoscopy is an available procedure for management of thymoma associated with myasthenia gravis. The less post-operative pain, the reduction of hospital stay and the better esthetic results are all potential advantages of this approach over traditional technique. Obviously, our impression should be validated by larger studies in terms of long-term oncological outcomes.
Related Links	https://cardiothoracicsurgery.biomedcentral.com/counter/pdf/10.1186/s13019-016-0547-3.pdf
Ending Page	4
Page Count	4
Starting Page	1
File Format	HTM / HTML
ISSN	17498090
DOI	10.1186/s13019-016-0547-3
Journal	Journal of Cardiothoracic Surgery
Issue Number	1
Volume Number	11
Language	English
Publisher	BioMed Central
Publisher Date	2016-11-22
Access Restriction	Open
Subject Keyword	Cardiac Surgery Thoracic Surgery Thymoma Uniportal Thoracoscopy Myasthenia gravis Bilateral Case report
Content Type	Text
Resource Type	Case study
Subject	Surgery Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine
Journal Impact Factor	1.5/2023
5-Year Journal Impact Factor	1.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Refractory post-thymectomy myasthenia gravis with onset at MGFA stage V: a case report

Case report: cardiac herniation following robotic-assisted thymectomy

Single-port thoracoscopic rib resection: a case report

Video-assisted thoracoscopic surgery versus sternotomy in thymectomy for thymoma and myasthenia gravis.

Descriptive analysis of therapeutic outcomes between thoracoscopic and transsternal thymectomy in myasthenia gravis patients from 2011 to 2021

Ectopic cervical thymoma in a patient with Myasthenia gravis

Uniportal thoracoscopic lobectomy for intralobar pulmonary sequestration

Thymoma negatively affects the neurological outcome of myasthenia gravis after thymectomy: a propensity score matching study

Risk factors of prolonged ventilation after thymectomy in thymoma myasthenia gravis patients

Bilateral single-port thoracoscopic extended thymectomy for management of thymoma and myasthenia gravis: case report

Similar Documents

Refractory post-thymectomy myasthenia gravis with onset at MGFA stage V: a case report

Case report: cardiac herniation following robotic-assisted thymectomy

Single-port thoracoscopic rib resection: a case report

Video-assisted thoracoscopic surgery versus sternotomy in thymectomy for thymoma and myasthenia gravis.

Descriptive analysis of therapeutic outcomes between thoracoscopic and transsternal thymectomy in myasthenia gravis patients from 2011 to 2021

Ectopic cervical thymoma in a patient with Myasthenia gravis

Uniportal thoracoscopic lobectomy for intralobar pulmonary sequestration

Thymoma negatively affects the neurological outcome of myasthenia gravis after thymectomy: a propensity score matching study

Risk factors of prolonged ventilation after thymectomy in thymoma myasthenia gravis patients

Bilateral single-port thoracoscopic extended thymectomy for management of thymoma and myasthenia gravis: case report