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Signa Vitae

Journal of Anaesthesia, Intensive Care and Emergency Medicine

VATS thymectomy: our experience in General Hospital Zadar


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

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VATS thymectomy in treatment of thymomas


Thymomas are the most frequently occurring tumors of the anterior mediastinum and commonly develop between ages of 35 and 75 years. Approximately 30% to 45% of patients develop symptoms of myasthenia gravis and one third of patients are asymptomatic at the time of diagnosis. Local symptoms such as chest pain, hoarseness, shortness of breath, cough, superior vena cava syndrome, stridorous breathing are due to compression or direct invasion of adjacent structures and are present in as many as 40% of patients. Complete resection is the cornerstone of treatment and several studies have been published comparing different minimally invasive approaches to open resection for thymic malignancies. We present our experiences with minimally-invasive VATS thymectomy.

Key words: Thymectomy, VATS, Thymoma

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