胸腔镜胸腺切除术(左侧三孔法)治疗伴有肌无力的 1 期胸腺瘤

H. Sharma, Deepak Mittal, Sanjay Saini, Deepesh Mittal
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摘要

胸腺瘤是一种罕见的胸腺上皮细胞肿瘤,常与重症肌无力并发。手术切除是治疗胸腺瘤的首选方法,而胸腔镜胸腺切除术是一种微创方法,与开胸胸腺切除术相比,疗效不相上下。胸腔镜胸腺切除术治疗胸腺瘤合并重症肌无力是一种安全有效的手术技术。它可以完全切除肿瘤,同时将术后并发症降至最低。这种方法能提供良好的视野,并能进入胸腺和周围结构,从而进行精确的解剖和肿瘤切除。此外,与开放式胸腺切除术相比,使用胸腔镜可减少术后疼痛,缩短住院时间。我们的病例报告详细介绍了在一名胸腺瘤一期和重症肌无力患者身上成功使用左侧三孔胸腔镜胸腺切除术的情况。这种手术技术的微创性质不仅使肿瘤得以完全切除,还有助于减轻术后疼痛,缩短患者的住院时间。这种方法提供了良好的可视性,可进入胸腺和周围结构,有利于精确解剖和切除肿瘤,为患者带来了良好的治疗效果。
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THORACOSCOPIC THYMECTOMY FOR STAGE-1 THYMOMA WITH MYASTHENIA GRAVIS USING LEFT-SIDED THREE-PORTAL APPROACH
Thymoma is a rare tumor of thymic epithelial cells, often found in association with myasthenia gravis. Surgical resection is the treatment of choice for thymoma, and thoracoscopic thymectomy is a minimally invasive approach that has shown comparable outcomes to open thymectomy. Thoracoscopic thymectomy for thymoma with myasthenia gravis is a safe and effective surgical technique. It allows for complete resection of the tumor while minimizing postoperative complications. This approach provides excellent visualization and access to the thymus and surrounding structures, allowing for precise dissection and tumor removal. Additionally, the use of thoracoscopy reduces postoperative pain and shortens hospital stays compared to open thymectomy. Our case report details the successful use of the left-sided three-portal approach for thoracoscopic thymectomy in a patient with stage-1 thymoma and myasthenia gravis. The minimally invasive nature of this surgical technique not only allowed for complete resection of the tumor but also contributed to a reduction in postoperative pain and shorter hospital stays for the patient. The excellent visualization and access to the thymus and surrounding structures provided by this approach facilitated precise dissection and tumor removal, resulting in favorable outcomes for the patient.
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