Video-assisted thoracoscopic thymectomy

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With the development of video-assisted thoracoscopic surgery (VATS), the application of video-assisted thoracoscopic surgery (VATS) is becom

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With the development of video-assisted thoracoscopic surgery (VATS), the application of video-assisted thoracoscopic surgery (VATS) is becoming more and more popular. With the increasing number of cases, resection in the treatment of myasthenia gravis efficacy and long-term prognosis also entered the stage of analysis and evaluation of TV endoscope assisted thymus. At present, the most common techniques of video-assisted thoracoscopic thymectomy (VATS) and video-assisted thoracoscopic extended thymectomy (VATET) are commonly used in clinical practice at home and abroad.

Video-assisted thoracoscopic thymectomy is the application of unilateral thoracoscopic (left or right) expose the anterior mediastinum, endoscopic resection of whole thymus and anterior mediastinal fat tissue can be sharp separation to the pericardial surface, contralateral mediastinal pleural before the adipose tissue is usually through dissection surgery side of anterior mediastinal space to the extent possible, under the scope of bilateral neck thymus very by thymus gland to drop.

Video-assisted thoracoscopic extended thymectomy is the use of bilateral thoracoscopy to expose the diaphragm from bilateral visual field. Because of bilateral clearoperationfield visible around the scope of the entire thymus gland and the adipose tissue can be cleaned at the same time, the sharp separation to the pericardium and phrenic nerve, bilateral mediastinal pleural will be removed, if assisted by the neck incision can clearly reveal the throat peripheral nerves and blood vessels on both sides of the thymus the higher and lower cervical trachea fat removal under direct vision.

The robot video assisted thoracoscopic resection of thymic gradual rise in recent years is still in development stage.

The scope of the VATS technique has been reported to be larger than that of the standard resection of the thymus via the sternum. Because under the treatment of cervical before bilateral thymus very difficult, and the diameter of unilateral approach of contralateral anterior mediastinal tissue and can not be like the surgery side in direct dissection and separation, so theoretically VATET operation on both sides of the anterior mediastinum provides a very good view, more suitable for treatment. Myasthenia gravis than VATS at the same time, video-assisted thoracoscopic thymectomy development must possess an important prerequisite is the need to master thoracoscopic operation and meticulous thoracic surgeons to complete.

 

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