MMCTS
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MMCTS (April 25, 2005). doi:10.1510/mmcts.2004.000836
Copyright © 2005 European Association for Cardio-thoracic Surgery

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Marcin Zielinski
Jaroslaw Kuzdzal
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Right arrow Surgery of mediastinum
 

Procedure


Transcervical-subxiphoid-VATS "maximal" thymectomy for myasthenia gravis

Marcin Zielinski*, Jaroslaw Kuzdzal and Tomasz Nabialek

Department of Thoracic Surgery, Pulmonary Hospital, Zakopane, ul. Gladkie 1, 34-500 Zakopane, Poland

* Corresponding author: * Tel.: +48-18-2015045. E-mail: marcinz{at}mp.pl

A maximally extended thymectomy is performed through four incisions: a transverse 5–8 cm incision in the neck, a 4–6 cm subxiphoid incision and two 1 cm incisions for videothoracoscopic ports. The cervical part of the procedure is performed with an open technique, the intrathoracic part of the procedure is performed with the videothoracoscopy assisted (VATS) technique. The whole thymus with the surrounding fatty tissue containing possible ectopic foci of the thymic tissue is removed. The need for sternotomy is avoided while the completeness of the operation is retained.

Key Words: Thymectomy • Videothoracoscopy (VTS) • Videothoracoscopy-assisted (VATS)

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Copyright © 2005 by The European Association for Cardio-thoracic Surgery.