ArticleInternational journal of surgery case reports2017
Surgical approach in thymectomy: Our experience and review of the literature.
Article in International journal of surgery case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Complications of robot-assisted thymectomy: A single-arm meta-analysis and systematic review.The international journal of medical robotics + computer assisted surgery : MRCAS · 2021Pooled it
- Development and validation of a predictive model for postoperative complications in thymoma patients.Journal of cardiothoracic surgery · 2026Article
- Da Vinci Xi robot -assisted subxiphoid resection of thymoma and reconstruction of the left brachiocephalic vein: A case report.International journal of surgery case reports · 2025Article
- Lobulated tumor contour as a predictor of preoperative tumor invasion of the lung or pericardium in thymoma patients.Surgery today · 2024Article
- Surgical management of thymic tumors: a narrative review with focus on robotic-assisted surgery.Mediastinum (Hong Kong, China) · 2024Review
- Review
- Incidental giant thymoma-a reminder of the importance of a global look of the imaging scans.Journal of surgical case reports · 2023Article
- Mediastinal Parathyroid Cancer.Cancers · 2022Article
- Maximal Thymectomy via Mini Sternotomy with Pleural Preservation.South Asian journal of cancer · 2022Article
- Minimally invasive combined approach robotic thymectomy and transcervical total thyroidectomy.BMJ case reports · 2022Article
- Minimally invasive surgery in the management of resectable thymoma: a retrospective analysis from the National Cancer Database.Journal of thoracic disease · 2021Article
- Risk factors of prolonged ventilation after thymectomy in thymoma myasthenia gravis patients.Journal of cardiothoracic surgery · 2021Article
- Primary thymus tumors: retrospective case analysis at a reference center in Latin America, 2011-2019.BMC cancer · 2021Article
- Article
- A mutational profile in multiple thymic squamous cell carcinoma.Gland surgery · 2019Article
- A case of thymoma in myasthenia gravis: Successful outcome after thymectomy.International journal of surgery case reports · 2019Article
- Value of Adjuvant Radiotherapy for Thymoma with Myasthenia Gravis after Extended Thymectomy.Chinese medical journal · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThymectomy is the main treatment for thymoma and patients with myasthenia gravis (MG). The traditional approach is through a median sternotomy, but, recently, thymectomy through minimally invasive approaches is increasingly performed. Our purpose is an analysis and discussion of the clinical presentation, the diagnostic procedures and the surgical technique. We also consider post-operative complications and results, over a period of 5 years (May 2011-June 2016), in thymic masses admitted in our Thoracic Surgery Unit.
methodsWe analyzed 8 patients who underwent surgical treatment for thymic masses over a period of 5 years. 6 patients (75%) had thymoma, 2 patients (25%) had thymic carcinomas. 2 patients with thymoma (33%) had myasthenia gravis. We performed a complete surgical resection with median sternotomy as standard approach.
resultsOne patient (12%) died in the postoperative period. The histological study revealed 6 (75%) thymoma and 2 (25%) thymic carcinomas. Post-operative morbidity occurred in 2 patients (25%) and were: pneumonia in 1 case (12%), atrial fibrillation and pleural effusion in 2 patients (25%). One patient with thymoma type A recurred at skeletal muscle 2-years after surgery.
conclusionsThymic malignancies are rare tumors. Surgical resection is the main treatment, but a multimodal approach is useful for many patients. Radical thymectomy is completed removing all the soft tissue in the anterior mediastinum between the two phrenic nerves and this is the most important factor in controlling myasthenia and influencing survival in patients with thymoma. Open (median sternotomy) approach has been the standard approach for thymectomy for the better visualization of the anatomical structures. Actually, video-assisted thoracoscopic surgery (VATS) thymectomy and robotic video-assisted thoracoscopic (R-VATS) approach versus open surgery has an equal if not superior oncological efficacy, better perioperative complications and survival outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.