[Comparative analysis of thoracoscopic and open thymectomy for thymoma stage I-II].

Autor:	Podobed AV; Alexandrov National Cancer Center of Belarus, Minsk region, Lesnoy, Belarus., Kurchin VP; Alexandrov National Cancer Center of Belarus, Minsk region, Lesnoy, Belarus., Bambiza AV; Alexandrov National Cancer Center of Belarus, Minsk region, Lesnoy, Belarus., Savchenko OG; Alexandrov National Cancer Center of Belarus, Minsk region, Lesnoy, Belarus., Malkevich VT; Alexandrov National Cancer Center of Belarus, Minsk region, Lesnoy, Belarus.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2021 (7), pp. 31-35.
DOI:	10.17116/hirurgia202105131
Abstrakt:	Objective: To improve the short-term postoperative outcomes in patients with thymoma stage I-II by using of thoracoscopic thymectomy (VATS TE) and to compare this technique with open (OTE) thymectomy. Material and Methods: A retrospective analysis included 98 patients who had undergone surgery for thymoma stage I and II for the period from January 2001 to December 2019. VATS TE (main group) was performed in 53 (54.1%) cases, OTE (control group) - in 45 (45.9%) patients. Results: Duration of VATS TE and OTE was similar. VATS procedure was characterized by less intraoperative blood loss (50 vs 225 ml, p =0.000), lower pain scores and morphine consumption ( p =0.000), shorter postoperative pleural drainage (1.5 vs 3.8 days, p =0.000), and postoperative hospital-stay (7.6 vs 12.7 days, p =0.000). Incidence of major complications was significantly less in the main group (9.4% vs. 1.9%, p =0.001). Conclusion: VATS TE is effective and safe procedure for thymoma stage I-II. Postoperative period after VATS TE is characterized by less intraoperative blood loss, incidence of complications, duration of pleural drainage and hospital-stay.
Databáze:	MEDLINE
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