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Date Published: 28/10/2024
Abstract Views: 2
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DOI: https://doi.org/10.56535/jmpm.v49i8.1016
Issue
Vol. 49 No. 8 (2024): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 8 - 2024
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Articles
How to Cite
Đặng, Đ. M. T., Vũ, H. V., & Nguyễn, V. N. (2024). EVALUATION THE EARLY RESULTS OF THYMECTOMY BY ROBOT ASSISTED THORACOSCOPIC SURGERY FOT TREATMENT THYMOMA AT CHO RAY HOSPITAL. Journal of Military Pharmaco-medicine, 49(8), 182-189. https://doi.org/10.56535/jmpm.v49i8.1016

EVALUATION THE EARLY RESULTS OF THYMECTOMY BY ROBOT ASSISTED THORACOSCOPIC SURGERY FOT TREATMENT THYMOMA AT CHO RAY HOSPITAL

Đình Minh Thanh Đặng1,2, , Vũ Hữu Vĩnh1,2, Nguyễn Văn Nam2
1 Bệnh viện Chợ Rẫy
2 Học viện Quân y

Main Article Content

Abstract

Objectives: To eavluate the early results of robotic assisted thoracoscopic surgery for treatment thymoma at Cho Ray hospital. Patients and methods: Patients with thymoma underwent thymectomy by robotic assisted thoracoscopic surgery from january of 2020 to december of 2023 at Thoracic Surgery Department, Cho Ray hospital. Results: The mean age was 49.42  13.46 years, the female - to - male ratio was 1.39. Nineteen patients (44.2%) were affected by myasthenia gravis. Preoperative Perlo – Osserman class was I in 4 patients, IIA in 11 patients and IIB in 4 patients. The subxiphoid approach was highest (58.1%), the right – sided (14%) and the left – sided (27.9%). One patient (2.3%) required conversion to open approach because of injury of innominate veins. The mean operative time was 158.25  69.6 min (70 – 400 min). The operative time had no relation to tumor size, but having relation to Masaoka stage. Six patients (14%) had postoperative complications: Five patients with respiratory failure and 1 patient with pleural effusion. Mean tinme to chest drainage removal was 2.44  0.98 days (1 – 6 days). Mean hospital stay was 6.05  5.21 days (2 – 27 days). Conclusion: The robotic assisted thoracoscopic surgery has a range of advantages, which is feasible, safe and bring relatively good results for treatment thymoma.


Keywords: Thymoma; Robotic assisted thoracoscopic surgery.

Article Details

Keywords

Thymoma, Robotic assisted thoracoscopic surgery

References

1. Kang CH, Na KJ, Song JW, et al. The robotic thymectomy via the subxiphoid approach: Technique and early outcomes. European Journal of Cardio-Thoracic Surgery. 2020; 0:1-5.
2. Qian L, Chen X, Huang J, et al. A comparison of three approaches for the treatment of early stage thymomas: Robot-assisted thoracic surgery, video-assisted thoracic surgery, and median sternotomy. J Thoracic Dis. 2017; 9(7):1997-2005.
3. Wu WJ, Zhang FU, Xiao Q, et al. Does robotic-assisted thymectomy have advantages over video-assisted thymectomy in short-term outcomes? A systematic view and meta-analysis. Interactive Cardiovascular and Thoracic Surgery. 2021; 33:385-394.
4. Marulli G, Maessen J, Melfi F, et al. Multi-institutional European experience of robotic thymectomy for thymoma. Ann Cardiothoracic Surg. 2016; 5(1):18-25.
5. Weng W, Li X, Meng S, et al. Video assisted thoracoscopic thymectomy is feasible for large thymomas: A propensity-matched and comparison. Interactive CardioVascular and Thoracic Surgery. 2019; 30:565-572.
6. Lê Việt Anh. Nghiên cứu ứng dụng phẫu thuật nội soi lồng ngực cắt u tuyến ức điều trị bệnh nhược cơ tại Bệnh viện Quân y 103. Luận án Tiến sĩ Y học, Học viện Quân y. 2019; 65-98.
7. Osserman KE and Genkins G. Studies in myasthenia gravis: Review of a twenty-year experience in over 1200 patients. Mt Sinai J Med. 1971; 38(6):497-537.
8. Jun Y, Hao L, Demin Li, et al. Da Vinci robot-assisted system for thymectomy: Experience of 55 patients in China. Int J Med Robotics Amput Assist Surg. 2014; 10:294-299.
9. Chung JW, Kim HR, Kim DK, et al. Long-term results of thoracoscopic thymectomy for thymoma without myasthenia gravis. J Int Med Res. 2012; 40(5):1973-81.