P30: A case of anterior mediastinitis and bilateral multiple lung abscesses occurring after TsTET

Abstract: Trans-subxiphoid thoracoscopic extended thymectomy (TsTET), which can provide a better exposure of bilateral upper thymus lobes and the contralateral phrenic nerve, was reported superior to unilateral thoracoscopic approach in treatment of myasthynia gravis or anterior mediastinal tumour. However, the postoperative complications for TsTET have hardly been discussed. Here we reported a 68-year-old female suffered subxiphoid incision infection, anterior mediastinitis, concomitant bilateral pneumonia and multiple lung abscesses after TsTET. In our experience, because the subxipoid incision, the anterior mediastinum and the bilateral thoracic cavity communicated directly after TsTET, it should be aware of the risk of infection in anterior mediastinitis and bilateral thoracic cavity following subxiphoid incision infection.

Keywords: Myasthenia gravis; mediastinitis; thymectomy