Uniportal bilateral video-assisted thoracoscopic extended thymectomy for myasthenia gravis: A case report  Francesco Paolo Caronia, MD, Alfonso Fiorelli,

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Presentation transcript:

Uniportal bilateral video-assisted thoracoscopic extended thymectomy for myasthenia gravis: A case report  Francesco Paolo Caronia, MD, Alfonso Fiorelli, MD, PhD, Mario Santini, MD, Salvatore Cottone, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 150, Issue 1, Pages e1-e3 (July 2015) DOI: 10.1016/j.jtcvs.2015.03.063 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, The chest computed tomography scan showed a 1.5-cm mediastinal thymic mass. B, The patient was placed in the right lateral decubitus position, and the surgeon and the assistant were positioned on the posterior side. C, After identification of the left phrenic nerve, initial dissection was begun with the Ultracision harmonic scalpel running along the border of the left phrenic nerve. D, The thymus was retracted inferiorly and medially, and the innominate vein was skeletonized. E, The complete mobilization of thymus allowed the exposition of the both thyroid–thymic ligaments. F, After completion of the leftward dissection, a single chest tube was inserted through the intercostal incision. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e1-e3DOI: (10.1016/j.jtcvs.2015.03.063) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, A 4-cm length incision was performed within the fourth intercostal space. B, The mediastinal pleura was dissected along the right phrenic nerve. C and D, The en bloc dissection of thymus and perithymic and pericardiophrenic fatty tissue was achieved. E, The specimen. F, Closure of right incision with a chest drain. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e1-e3DOI: (10.1016/j.jtcvs.2015.03.063) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions