Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series
Minimally invasive strategies are increasingly popular in patients with myasthenia gravis (MG)-associated thymomas. Within the context of video-assisted thoracoscopic surgery (VATS) as a widely known minimally invasive option, the most recent achievement is uniportal subxiphoid VATS. In MG patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2022-10-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| Summary: | Minimally invasive strategies are increasingly popular in patients with myasthenia gravis
(MG)-associated thymomas. Within the context of video-assisted thoracoscopic surgery
(VATS) as a widely known minimally invasive option, the most recent achievement is uniportal
subxiphoid VATS. In MG patients, it is mandatory (1) to minimize perioperative interference
with administered anesthetics to avoid complications and (2) to achieve a complete
surgical resection, as the prognosis essentially depends on radical tumor resection.
In order to fulfill these criteria, we merged this surgical technique with its anesthesiologic
counterpart: regional anesthesia with the maintenance of spontaneous ventilation via a
laryngeal mask. Non-intubated uniportal subxiphoid VATS for extended thymectomy allowed
radical thymectomy in all MG patients with both rapid symptom control and fast
recovery. |
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| ISSN: | 2765-1606 2765-1614 |