KẾT QUẢ BƯỚC ĐẦU PHẪU THUẬT NỘI SOI LỒNG NGỰC CẮT TUYẾN ỨC CÓ KẾT HỢP ĐƯỜNG MỔ DƯỚI MŨI ỨC

Abstract

Objectives: To evaluate the short term results of endoscopic thymectomy combined subxiphoid approach. Methods: This is a prospective case series study of endoscopic thymectomy using subxiphoid incision at Thoracovascular department, University medical center, Ho Chi Minh City. Results: There were 19 cases of endoscopic thymectomy combined subxiphoid incision at University medical center from January 2021 to June 2022. Female is predominant (68%), majority chief complaints with symptoms of myasthenia gravis (57.9%), thymoma is accounted for 68.4% of anterior mediastinal lesions. Complication during and after surgery, there was 1 case of right diaphragmatic perforation (accounting for 5.3%), we had to do thoracotomy for diaphragmatic restoration; 1case of postoperative respiratory failure (accounting for 5.3%), patient was ventilated by high-flow nasal cannula for 5 days. Respiratory condition was improved, patient was discharged 3 days later. Conclusion: Endoscopic thymectomy combined with subxiphoid incision is a new approach in non-tumor myasthenia gravis as well as thymoma, providing good vision in the anterior mediastinum, important for clearly seeing the bilateral diaphragmatic nerve, creating qood condition for extended thymectomy, increasing the effectiveness of surgical treatment in myasthenia gravis as well as achieving a wide resection in thymoma.