Left side approach for video assisted thoracic surgery in thymic tumor
JIN Luming
LI Yun
CHEN Yingtai
CUI Jian
HUANG Yuqing
LIU Jun
Abstract：Objective To evaluate the feasibility of the left thoracic approach video-assisted thoracoscopic operation (VATS) toward thymoma in the left pleural cavity .Methods From 2004 February to 2013 February, 200 cases of thoraco-scopic thymectomy operation were enrolled , through left thoracic approach video-assisted thoracoscopic thymectomy operation was 42 cases ( left thoracic approach group ) .The patients in the right lateral decubitus , general anesthesia is used , the con-tralateral one lung ventilation , through the front side hole thymectomized and cut off the left thymic vein , after operation with 1 tube for left pleural indwelling drainage .Through right thoracic approach ( right thoracic approach group ) in 158 cases, compare the clinical data of the 2 groups.Results 42 patients received successful operation , no serious complications and pe-ri-operation period death cases .Simple thymus resection in 36 cases, thymus expand resection in 6 cases, the tumor invasion of adjacent organs for thoracotomy in 4 cases, the average operation time was (118.3 ±23.7) min, the average intraoperative bleeding (99.7 ±58.3) ml.Postoperative follow-up (35.5 ±22.2) months, showed no tumor recurrence .Compared with the right thoracic approach group , left thoracic approach the maximum diameter of the lesions was significantly greater ( t =3.592, P <0.05).Conclusion Through left thoracic approach video-assisted thoracoscopic thymectomy is effective , is the frist choice of left pleural thymoma resection .
Keywords：Left approachVideo assisted thoracic surgeryThymus tumor resection
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 680-682 )