微创切口行胸腺扩大根治术

【目的】将微创小切口应用于胸腺扩大根治术 ,以减少手术创伤、创造美容效果。【方法】重症肌无力患者 10例 ,其中胸腺增生 9例 ,胸腺瘤 1例 ,全部经胸骨下段正中小切口实施胸腺扩大根治术。【结果】所有病人皆顺利施行胸腺扩大根治术 ,无死亡和其他并发症。手术出血少 ,术后疼痛反应轻 ,恢复快 ,伤口愈合满意。【结论】微创胸骨正中小切口可安全地用于胸腺扩大根治术 ,手术疗效好 ,创伤小 ,美容效果佳。

Minimally Invasive Thymectomy for Myasthenia Gravis: the Ministeronotomy Approach

Objective The ministernotomy approach was designed to perform thymectomy for myasthenia gravis in order to lessen surgical trauma and made cosmetically effectiveness. A series of patients were studied for evaluating its feasibility. Methods 10 patients with myasthenia gravis were underwent thymectomy, including 9 thymic hyperplasia and 1 thymoma. Results All the patients were performed with the prospective procedure successfully. No operative deaths and complications happened. There were lesser blood loss,and lighter postoperation pain. The patients' recovery and wound healing were excellent. Conclusions Minimal-access median sternotomy could be used in thymecyomy safely, it made a good operative result with limited surgical trauma and excellent cosmectical effectiveness.