Technique for Myasthenia Gravis: Subxiphoid Approach

Beatrice Aramini; Jiang Fan

doi:10.1016/j.thorsurg.2018.12.010

Technique for Myasthenia Gravis: Subxiphoid Approach

Thorac Surg Clin. 2019 May;29(2):195-202. doi: 10.1016/j.thorsurg.2018.12.010.

Authors

Beatrice Aramini¹, Jiang Fan²

Affiliations

¹ Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena 41124, Italy.
² Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China. Electronic address: drjiangfan@yahoo.com.

PMID: 30928001
DOI: 10.1016/j.thorsurg.2018.12.010

Abstract

Kido and colleagues in 1999 used for the first time the subxiphoid approach. Recently, video-assisted thoracoscopic surgery (VATS) thymectomy has been improved for the advancement of surgical materials and new instruments. The most important aspect regarding the subxiphoid approach is the possibility to avoid the intercostal nerve damage with the consequence of a decreased use of postoperative analgesics, quite short surgical duration, fast discharge from hospital and a guarantee of successful cosmetics results.

Keywords: Minimally invasive surgery; Myasthenia gravis; Open thymectomy; Sternotomy; Subxiphoid thymectomy; VATS thymectomy.

Publication types

Review
Video-Audio Media

MeSH terms

Humans
Myasthenia Gravis / surgery*
Patient Positioning
Preoperative Care
Thoracic Surgery, Video-Assisted / methods
Thymectomy / methods*