Evidence map›Paper›PMID 39605024›Full record

ArticleJournal of cardiothoracic surgery2024

Clinical application of standardization right thoracic incision for thoracoscopic thymic tumor resection.

Shihao Xu, Dongzhao Gao, Xinming Li, Jiagang Zhang, Jian Yang, Enji Yang, Yong Ma, Jun Qian

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shihao Xu *Department of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Dongzhao Gao *Department of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Xinming Li *Department of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Jiagang ZhangDepartment of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Jian YangDepartment of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Enji YangDepartment of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Yong MaDepartment of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China.
Jun QianDepartment of Cardiothoracic Surgery, Dehong People's Hospital, Affiliated Dehong Hospital of Kun Ming Medical University, No.13, Yonghan Street, Dehong, Yunnan, 678400, China. 175382204@qq.com.

Funding

Academic and Technical Leader Reserve Project for Middle-aged and Young People in Dehong 2021RC003Academic and Technical Leader Reserve Project for Middle-aged and Young People in Yunnan Province 202405AC350006Scientific Research Fund Project of Dehong People's Hospital 2022DY002
6 · The paper itself

Abstract

backgroundWith the continuous development of minimally invasive thoracic surgery, thoracoscopic thymectomy has become a routine operation. This method, now widely recognized, better protects lung function, reduces intraoperative blood loss and pain, and shortens postoperative hospital stay. We now introduce a standardized right thoracic incision for thoracoscopic thymic tumor resection, which has achieved favorable clinical outcomes.

methodsThis retrospective study involves 63 patients who underwent standardized right thoracic incision for thoracoscopic thymic tumor resection from October 2022 to January 2024. We analyzed the relevant clinical data, including postoperative pathological diagnosis, operation time, intraoperative blood loss, chest tube drainage duration, postoperative hospital stay, and follow-up data.

resultsAll 63 patients underwent thoracoscopic surgery. Thoracoscopic surgery excised thymic tumors and mediastinal fat in 62 cases, while 1 case of thymic carcinoma underwent thoracoscopic biopsy due to invasion of the superior vena cava and innominate vein. Postoperative pathological diagnosis revealed thymoma in 35 cases (33 cases of thymoma and 2 cases of thymic adenocarcinoma). R0 resection was achieved in 33 cases and R1 resection in 1 case. Additionally, 2 patients diagnosed with thymic adenocarcinoma were advised to undergo postoperative radiotherapy. Postoperative pathological diagnosis of the other 28 cases showed thymus hyperplasia in 13 cases and thymus cysts in 15 cases. The mean operation time was 57.3 ± 14.2 min, and intraoperative blood loss was 22.5 ± 14.7 ml. The mean chest tube drainage duration was 2.7 ± 1.3 days, and the postoperative hospital stay was 3.7 ± 1.4 days. No secondary operations were required, and no severe complications or mortality were observed during the perioperative period. All patients were discharged smoothly after surgery. Ten patients were not followed up due to recent surgery. The remaining 53 patients were followed up for 6 to 12 months, with no recurrence or distant metastasis observed.

conclusionThe standardized right thoracic incision for thoracoscopic thymic tumor resection simplifies the procedure of thymectomy. The operation's risk points are relatively fixed, making it safe and feasible. It is easy for the operator to master, and the thymic tumor resection rate is high. It possesses characteristics of being minimally invasive, enabling rapid recovery, having fewer complications, and requiring simple perioperative management.

Indexed as

ThymectomyThymus NeoplasmsAdultAgedFemaleHumansLength of StayMaleMiddle AgedOperative TimeRetrospective StudiesThoracic Surgery, Video-AssistedThoracoscopyThymomaStandardization right thoracic incisionThoracoscopyThymic tumors

Identifiers

PMID39605024
PMCPMC11600553

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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.