Thoracoscopic versus classic trans-sternal thymectomy for myasthenia gravis: single-center experience.
Sobhy, E., Al Kindi, A., Al Jabri, N., Salem, A. (2022). Thoracoscopic versus classic trans-sternal thymectomy for myasthenia gravis: single-center experience.. EKB Journal Management System, 28(4), 740-747. doi: 10.21608/zumj.2020.44192.1963
Ehab Sobhy; Adil H Al Kindi; Noor Al Jabri; Abdelmeged Mohamed Salem. "Thoracoscopic versus classic trans-sternal thymectomy for myasthenia gravis: single-center experience.". EKB Journal Management System, 28, 4, 2022, 740-747. doi: 10.21608/zumj.2020.44192.1963
Sobhy, E., Al Kindi, A., Al Jabri, N., Salem, A. (2022). 'Thoracoscopic versus classic trans-sternal thymectomy for myasthenia gravis: single-center experience.', EKB Journal Management System, 28(4), pp. 740-747. doi: 10.21608/zumj.2020.44192.1963
Sobhy, E., Al Kindi, A., Al Jabri, N., Salem, A. Thoracoscopic versus classic trans-sternal thymectomy for myasthenia gravis: single-center experience.. EKB Journal Management System, 2022; 28(4): 740-747. doi: 10.21608/zumj.2020.44192.1963

Thoracoscopic versus classic trans-sternal thymectomy for myasthenia gravis: single-center experience.

Zagazig University Medical Journal
Article 17, Volume 28, Issue 4, July 2022, Page 740-747  XML PDF (330.65 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.44192.1963
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Authors
Ehab Sobhy email 1; Adil H Al Kindi2; Noor Al Jabri3; Abdelmeged Mohamed Salem1
1Department of Cardiothoracic Surgery , Zagazig University, Egypt.
2Department of Cardiothoracic Surgery, Sultan Qaboos University Hospital, Oman
3Medical student, College of Medicine and Health Sciences, Sultan Qaboos University, Oman
Abstract
Background: Myasthenia gravis (MG) is a neuromuscular junction autoimmune disorder that has a great impact on quality of life. Thymectomy can be approached by classic trans-sternal or thoracoscopic thymectomy. This study aimed to assess the perioperative characteristics and the efficacy of VATS as compared to the classic trans-sternal thymectomy in myasthenia gravis patients in Sultan Qaboos University hospital (SQUH) and also to compare the postoperative outcomes.
Methods: MG patients had undergone either VATS or classic trans-sternal thymectomy. Only patients with complete data were included. Medical records were examined for patient demographics, preoperative conditions, co-morbidities, perioperative and postoperative outcomes.
Results: A total of 56 thymectomies were performed. Among them, 22 were done by VATS and 34 were done by classic trans-sternal thymectomy. Total hospital stay, postoperative wound infection, visual analogue scale for pain score and postoperative analgesics were significantly less in VATS group.
Conclusion: VATS thymectomy achieved superior results compared to the classic trans-sternal approach in terms of less postoperative complication such as wound infection and pain score, less postoperative medications and shorter hospital stay. It is recommended that further randomized prospective studies with longer follow-up periods to confirm our results.
Keywords
Myasthenia gravis; thoracoscopy; thymectomy; sternotomy
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