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Feasible and promising modified trans-subxiphoid thoracoscopic extended thymectomy for patients with myasthenia gravis

  
@article{JTD18992,
	author = {Kazu Shiomi and Eiji Kitamura and Mototsugu Ono and Yasuto Kondo and Masahito Naito and Masashi Mikubo and Yoshio Matsui and Kazutoshi Nishiyama and Takashi Suda and Yukitoshi Satoh},
	title = {Feasible and promising modified trans-subxiphoid thoracoscopic extended thymectomy for patients with myasthenia gravis},
	journal = {Journal of Thoracic Disease},
	volume = {10},
	number = {3},
	year = {2018},
	keywords = {},
	abstract = {Background: We have used a promising, minimally invasive thoracoscopic technique of extended thymectomy for patients with myasthenia gravis (MG). The aim of this study was to report our promising technique, a modified single-port trans-subxiphoid approach (MTXA) and to compare perioperative outcomes and effects on MG between our approach and sternotomy. 
Methods: We retrospectively reviewed records of all patients undergoing extended thymectomy for MG and/or thymoma between January 1, 2010 and December 31, 2016. The patients were divided into the MTXA group and Sternotomy group. 
Results: Of the 50 consecutive patients undergoing extended thymectomy for MG, finally, 13 patients undergoing our MTXA extended thymectomy technique were compared with 20 patients undergoing extended thymectomy via sternotomy. Intraoperative blood loss, postoperative length of stay, and C-reactive protein value on postoperative day 1 were significantly more favorable in the MTXA group than the Sternotomy group (P},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/18992}
}