Background: Traditionally, thymectomies has been performed from median sternotomy. However, VATS (Video assisted thoracoscopic surgery) for thymectomy has evolved significantly over the past two decades and is less aggressive compared to median sternotomy. Materials/methods: From June 2014. to December 2015.; 5 VATS tymectomies were performed: 3 for myastenis gravis and 2 for thymomas. There were 3 female and 2 male patients. Mean age was 35 years (range14-57 years).
Results: Mean duration of surgery was 150 minutes and mean duration of hospital stay was 4 days.
There was no hospital mortality and morbidity. No patient required assisted ventilation.
Conclusion: Video assisted thoracic surgery thymectomy results in shorter hospital stay, less postoperative pain, reduced need for postoperative analgetics and better cosmetics results, and should be considered as gold standard for thymectomy.

Key words: VATS, thymectomy, sternotomy


Bačić I., Morović D., Kovačić I.
Department of Surgery, General hospital, Zadar, Croatia

Petani B.
Department of Anesthesiology and intensive care, General hospital Zadar, Croatia

Dr Ivan Bačić
Opća bolnica Zadar, Bože Peričića 5, 23000 Zadar, Croatia
e mail: ivan.bacic21@zd.t-com.hr
GSM: +385 095 901 9141

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