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: |
| _version_ | 1828171068068593664 |
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| author | Marc Hartert Jan Tripsky Andreas Brandt Martin Huertgen |
| author_facet | Marc Hartert Jan Tripsky Andreas Brandt Martin Huertgen |
| author_sort | Marc Hartert |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T03:21:33Z |
| format | Article |
| id | doaj.art-1ff33e9410494dbab1df4c98482f8c6a |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-04-12T03:21:33Z |
| publishDate | 2022-10-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-1ff33e9410494dbab1df4c98482f8c6a2022-12-22T03:49:53ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142022-10-0155541742110.5090/jcs.22.007Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case SeriesMarc Hartert0https://orcid.org/0000-0003-1217-1555Jan Tripsky1https://orcid.org/0000-0001-7960-711XAndreas Brandt2https://orcid.org/0000-0002-6561-8341Martin Huertgen3https://orcid.org/0000-0002-6177-3985Katholisches Klinikum Koblenz-MontabaurKatholisches Klinikum Koblenz-MontabaurKatholisches Klinikum Koblenz-MontabaurKatholisches Klinikum Koblenz-MontabaurMinimally 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.non-intubated surgeryuniportal video-assisted thoracoscopic surgerysubxiphoid approachthymectomymyasthenia graviscase report |
| spellingShingle | Marc Hartert Jan Tripsky Andreas Brandt Martin Huertgen Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series Journal of Chest Surgery non-intubated surgery uniportal video-assisted thoracoscopic surgery subxiphoid approach thymectomy myasthenia gravis case report |
| title | Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series |
| title_full | Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series |
| title_fullStr | Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series |
| title_full_unstemmed | Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series |
| title_short | Non-intubated Uniportal Subxiphoid Video-Assisted Thoracoscopic Surgery for Extended Thymectomy in Myasthenia Gravis Patients: A Case Series |
| title_sort | non intubated uniportal subxiphoid video assisted thoracoscopic surgery for extended thymectomy in myasthenia gravis patients a case series |
| topic | non-intubated surgery uniportal video-assisted thoracoscopic surgery subxiphoid approach thymectomy myasthenia gravis case report |
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