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Annals of Surgical Oncology

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01-08-2008 | Thoracic Oncology

Videothoracoscopic Resection of Encapsulated Thymic Carcinoma: Retrospective Comparison of the Results Between Thoracoscopy and Open Methods

Author: Yu-Jen Cheng, MD

Published in: Annals of Surgical Oncology | Issue 8/2008

Abstract

Background

Although videothoracoscopic (VTS) resection of thymoma has been reported to be a less invasive technique than open sternotomy, the usefulness of this method in the treatment of encapsulated thymic carcinoma has not yet been evaluated. We retrospectively compared the VTS and open methods (median sternotomy) to investigate whether VTS resection could be performed as successfully as open surgery to treat resectable thymic carcinoma.

Methods

Between November 2002 and March 2007 a retrospective review was made of eight patients (four women and four men) with Masaoka stage I and II encapsulated thymic tumor. Four patients (the VTS group) underwent tumor resection by means of a three-port endoscopic technique. The other four patients (the open group) underwent tumor excision via a standard sternotomy approach. The resected thymic carcinoma tissues were all confirmed by histopathological examination.

Results

No patient died nor did any major morbidity or recurrence occur during the mean follow-up period of 3.76 ± 1.43 years. The open group sustained more blood loss (246.3 ml more) and pleural drainage time (5.7 days more), and were hospitalized for a longer period (12.5 days more). However in the open group the tumor size was larger (38.6 cm³more ) and the mean follow-up time was longer (1.4 years more).

Conclusion

These results have encouraged us to treat more patients with encapsulated thymic carcinoma by means of VTS resection.

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Title: Videothoracoscopic Resection of Encapsulated Thymic Carcinoma: Retrospective Comparison of the Results Between Thoracoscopy and Open Methods
Author: Yu-Jen Cheng, MD
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: Annals of Surgical Oncology / Issue 8/2008
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-008-9984-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Videothoracoscopic Resection of Encapsulated Thymic Carcinoma: Retrospective Comparison of the Results Between Thoracoscopy and Open Methods

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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