Prevention and treatment of bleeding during thymectomy procedures
CHEN Xiu
HAN Bing
YIN Dong-tao
CHU Jian
Abstract：Objective To study the management and prevention of bleeding during the thymectomy procedures.Methods Fifty-two patients with myasthenia gravis,with and without thymoma,were treated surgically.Results There were no intraoperative deaths.50 thymectomies were performed completely using minimally invasive procedures (thoracoscopic or da Vinci S robotic).One bleeding occurred with robotic and bleeding was stopped by suturing the torn vessel with robotic arms under the robotic camera vision without conversion.Three cases had thoracoscopic access:one bleeding was stopped by dress pressing; one case required conversion to open thoracotomy and had difficulties to stop bleeding and had to use the mechanical circulatory support with an auxiliary circulating pump ; one case had to be redone 7 days postoperatively in order to withdraw a catheter which indwelled the innominate vein and it was sutured with the vessel wall together while stopping the bleeding during the surgical procedure.Conclusions Bleeding seldom occurres while the thymectomies are done either with thorocoscopic or robotic.Prevention is more important than treatment.Thoracoscopic surgery should be converted to open surgery in case of bleeding and the mechanical circulatory support with an auxiliary circulating pump or intraoperative autotransfusion should be prepared.
Keywords：ThymomaMyasthenia gravisThoracoscopyRoboticBleedingComplication
Publication Date：2013-07-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 936-937 )