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Thymectomy via parasternal approach in patients with miasthenia

https://doi.org/10.24884/0042-4625-2021-180-2-50--56

Abstract

A new approach for thymectomy in case of mediastinal shifting is proposed. Parasternal access provides optimal conditions for performing an adequate thymectomy, does not require single lung ventilation and could be used after previously performed pneumonectomy.

About the Authors

O. V. Pikin
P. Hertsen Moscow Oncology Research Institute
Russian Federation

Pikin Oleg V., Dr. of Sci. (Med.), Head of the Department of Thoracic Surgery

3, 2nd Botkinsky proezd, Moscow, 125284


Competing Interests:

The authors declare no conflict of interest



A. B. Ryabov
P. Hertsen Moscow Oncology Research Institute

Ryabov Andrey B., MD, Head of the Department of Thoracoabdominal Oncosurgery

Moscow


Competing Interests:

The authors declare no conflict of interest



O. A. Alexandrov
P. Hertsen Moscow Oncology Research Institute

Alexandrov Oleg A., Junior Research Fellow of the Department of Thoracic Surgery

Moscow


Competing Interests:

The authors declare no conflict of interest



N. I. Shcherbakova
Research Centre of Neurology

Sherbakova Natalya I., Dr. of Sci. (Med.), Senior Research Fellow, Head of the Myasthenic Group

Moscow


Competing Interests:

The authors declare no conflict of interest



N. A. Khrushcheva
Research Centre of Neurology

Khrushcheva Nadezhda A., Doctor

Moscow


Competing Interests:

The authors declare no conflict of interest



References

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4. Patent RU № 2663073. Method of thymectomy in case of mediastinal shifting / Pikin O., Ryabov A., Sherbakova N., Kolbanov K., Barmin V., Alexandrov O. 01.08.2018.

5. Szobor A. Crises in myasthenia gravis. Incidence, pathomachanism, special features // Acta medica Academiae Scientiarum Hungaricae 1966;22(3):283–292.

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7. Qi K., Bo Wang, Wang B., Zhang L. B., Chu X. Y. Video-assisted thoracoscopic surgery thymectomy versus open thymectomy in patients with myasthenia gravis: a meta-analysis // Acta Chirurgica Belgica. 2016. Doi: 10.1080/00015458.2016.1176419.

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For citations:


Pikin O.V., Ryabov A.B., Alexandrov O.A., Shcherbakova N.I., Khrushcheva N.A. Thymectomy via parasternal approach in patients with miasthenia. Grekov's Bulletin of Surgery. 2021;180(2):50--56. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-2-50--56

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)