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Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases

  • Authors:
    • Miao Zhang
    • Heng Wang
    • Xuefeng Pan
    • Wenbin Wu
    • Hui Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Thoracic Surgery, Xuzhou Central Hospital Affiliated to Southeast University, Xuzhou, Jiangsu 221009, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 3061-3063
    |
    Published online on: March 10, 2016
       https://doi.org/10.3892/ol.2016.4326
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Abstract

The aim of the present study was to examine the feasibility and efficacy of thoracoscopic radical resection of large retrosternal thymoma using artificial pneumothorax. A retrospective analysis was performed on 19 patients with bulky thymoma who underwent thoracoscopic resection using artificial pneumothorax by CO2 insufflation. The operations were performed with unilateral or bilateral thoracic incisions via single lumen endotracheal intubation and two-lung ventilation. This approach provided excellent exposure of the thoracic cavity and reliable control of the neuro-vascular structures in the anterior mediastinum, which was of vital importance for the extended resection of malignant thymoma. The operation time was 140.0±51.4 min without conversion to thoracotomy or sternotomy. The pathological diagnosis was confirmed by immunohistochemistry, including 5 cases of thymus lipomyoma, 1 case of thymus hyperplasia, 1 case of thymus cyst, 2 cases of type AB thymoma, 4 cases of type B1 thymoma, 4 cases of type B3 thymoma, and 2 cases of thymic carcinoma. Furthermore, there were no complications such as recurrent laryngeal nerve injury, phrenic nerve injury, pulmonary infection or atelectasis, with a hospital stay of 5.0±3.0 days. In conclusion, the thoracoscopic resection of thymoma using artificial pneumothorax is a preferable approach, that may be considered for patients with bulky retrosternal tumors.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang M, Wang H, Pan X, Wu W and Zhang H: Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases. Oncol Lett 11: 3061-3063, 2016.
APA
Zhang, M., Wang, H., Pan, X., Wu, W., & Zhang, H. (2016). Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases. Oncology Letters, 11, 3061-3063. https://doi.org/10.3892/ol.2016.4326
MLA
Zhang, M., Wang, H., Pan, X., Wu, W., Zhang, H."Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases". Oncology Letters 11.5 (2016): 3061-3063.
Chicago
Zhang, M., Wang, H., Pan, X., Wu, W., Zhang, H."Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases". Oncology Letters 11, no. 5 (2016): 3061-3063. https://doi.org/10.3892/ol.2016.4326
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang M, Wang H, Pan X, Wu W and Zhang H: Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases. Oncol Lett 11: 3061-3063, 2016.
APA
Zhang, M., Wang, H., Pan, X., Wu, W., & Zhang, H. (2016). Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases. Oncology Letters, 11, 3061-3063. https://doi.org/10.3892/ol.2016.4326
MLA
Zhang, M., Wang, H., Pan, X., Wu, W., Zhang, H."Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases". Oncology Letters 11.5 (2016): 3061-3063.
Chicago
Zhang, M., Wang, H., Pan, X., Wu, W., Zhang, H."Thoracoscopic resection of bulky thymoma assisted with artificial pneumothorax: A report of 19 consecutive cases". Oncology Letters 11, no. 5 (2016): 3061-3063. https://doi.org/10.3892/ol.2016.4326
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