An Audit of the Outcomes of Thymic Surgery | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2021]

Author(s):

1. Pralaya Khadka: Department of Thoracic Surgery, Manmohan Cardiothoracic Vascular and Transplant Center,Maharajgunj, Kathmandu,Nepal

2. Bibhusal Thapa: Department of Thoracic Surgery, Manmohan Cardiothoracic Vascular and Transplant Center,Maharajgunj, Kathmandu,Nepal

3. Ranjan Sapkota: Department of Thoracic Surgery, Manmohan Cardiothoracic Vascular and Transplant Center,Maharajgunj, Kathmandu,Nepal

4. Aakriti Sharma: Department of Thoracic Surgery, Manmohan Cardiothoracic Vascular and Transplant Center,Maharajgunj, Kathmandu,Nepal

5. Prakash Sayami: Department of Thoracic Surgery, Manmohan Cardiothoracic Vascular and Transplant Center,Maharajgunj, Kathmandu,Nepal

Abstract:

Most pathology of the thymus gland warrant its surgical removal; and thisrequires signi cant expertise and adequate medical set-up. This study aimed to audit the results of thymectomies performed in a specialised tertiary level centre in a resource-poor country. The outcomes of open and minimally invasivevideo-assisted thoracoscopic surgery (VATS) thymectomies were also compared. Out of 58 patients operated at Department of Thoracic Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal between October 2012 and January 2019, 33 patients underwent open thymectomy and 25 had VATS thymectomy. We conducted a retrospective search to look at operative time, blood loss and length of postoperative hospitalisation. The open surgery group was followed for an average of 32 months, and the VATS cohort for 38 months. No signi cant di erences were found in mean operative times and overall survival between groups. In selected cases, thymectomy via VATS is safer and comparable to open thymectomy in terms of operative safety and oncological completeness.

Page(s): 602-604

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 31, Issue: 5, Year: 2021

Keywords:

Thymus , outcome , VATS , Thymectomy

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