Perioperative outcomes and long-term survival in clinically early-stage thymic malignancies: video-assisted thoracoscopic thymectomy versus open approaches

Wang, Hao; Gu, Zhenyu; Ding, Jianyong; Tan, Liang; Fu, Jianhua; Shen, Yi; Wei, Yucheng; Zhang, Peng; Han, Yongtao; Chen, Chun; Zhang, Renquan; Li, Yin; Chen, Ke-Neng; Chen, Hezhong; Liu, Yongyu; Cui, Youbing; Wang, Yun; Pang, Liewen; Yu, Zhentao; Zhou, Xinming; Liu, Yangchun Liu; Liu, Yuan; Fang, Wentao

doi:10.21037/jtd.2016.03.05

Cited by 32 publications

(18 citation statements)

References 22 publications

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“…[28][29][30] Precautions must be taken in the interpretation of higher rates of R 0 surgery in MIS. 31 Indeed, open median sternotomy is still a standard in complex tumors invading proximity organs were complete removal is a technical challenge. Otherwise, other retrospective studies showed higher rates of pneumonia in the open surgery group (4.1% vs 1.9%) and higher percent of phrenic nerves injury (6.7% vs 0%) and R + (0.8% vs 0%) surgery in the VATS group.…”

Section: Principles Of Surgery Operative Technicmentioning

confidence: 99%

<p>Optimal management of thymic malignancies: current perspectives</p>

Drevet¹,

Collaud²,

Tronc³

et al. 2019

CMAR

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Thymic epithelial tumors (TETs) belong to orphan oncology. The incidence of TETs is about 1.3-3.2 cases per million worldwide. Following pathology, evolution and prognosis are variable. The World Health Organization classification distinguishes thymomas and thymic carcinomas. TETs are composed of thymic epithelial tumoral cells and normal lymphocytes. The mean age at diagnosis is 50-60 years-old. There are no identified risk factors. TETs are frequently associated with paraneoplastic syndromes as myasthenia gravis. The complete R 0 surgical resection is the most significant prognosis factor on survival. In 2010, the French National Institute of Cancer labeled the RYTHMIC network as a specific tumor board including thoracic surgeons, oncologist, and radiation therapist to define standard of care for the management of TETs. The aim of the review was to update knowledge to optimize the standard of care.

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Section: Principles Of Surgery Operative Technicmentioning

confidence: 99%

<p>Optimal management of thymic malignancies: current perspectives</p>

Drevet¹,

Collaud²,

Tronc³

et al. 2019

CMAR

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“…Thus approaches through the left chest and/ or subxiphoid area were either added or performed solely depending on the localization of the lesion and preference of the surgical team. Uniportal, multiportal and robotic assisted subxiphoid thymectomy technique was developed in Poland, Japan and China showing a multinational interest in the issue of minimizing trauma during thymectomy (2,3,9). In the beginning, subxiphoid approach was combined with right thoracoscopy and even a cervical incision to perform maximal thymectomy.…”

Section: Technical Approaches Across the Globementioning

confidence: 99%

Minimally invasive techniques in thymic surgery: a worldwide perspective

Batırel¹

2018

J. Vis. Surg.

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Minimally invasive surgical techniques are important in surgical management of thymic pathologies. Traditional access techniques are being replaced with minimally invasive techniques using multiportal or uniportal approach. Adoption of minimally invasive techniques for thymic malignancies has been slow due to long term recurrence concerns. Recent studies show that minimally invasive video-assisted thoracoscopic surgery (VATS) or robotic approach to early stage thymic malignancies are associated with less intraoperative bleeding, lower rate of respiratory complications, shorter chest tube duration and shorter hospital stay. Oncologic outcomes are at least equivalent to open approach. Minimally invasive approach for benign pathologies is widely applied. There are significant variations in VATS approaches for thymus, showing a multinational interest in the issue of minimizing trauma during thymectomy. Use of robotic technology is also popular, as the retrosternal area is a narrow anatomic space to manipulate conventional instruments. The evolution of minimally invasive surgery for thymus has been possible with contribution from centers all around the world. In the current practice, various approaches are being adopted and every surgeon should prefer a technique depending on surgical preference and experience.

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“…A search of the database established by the Chinese Alliance for Research in Thymomas (ChART) also revealed that the annual number of VATS procedures for thymic epithelial tumors has increased (18). That retrospective database shows that VATS was introduced in China in 2004, 10 years later as compared to Japan, though the number of …”

Section: Survey Of Vats Performed For Thymic Disease In Asiamentioning

confidence: 99%