[Pubmed] Uniportal video-assisted thoracoscopic thymectomy in Hospital Kuala Lumpur: a retrospective observational revie

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J Thorac Dis. 2024 Nov 30;16(11):7446-7457. doi: 10.21037/jtd-24-830. Epub 2024 Nov 8.

ABSTRACT

BACKGROUND: The standard treatment for thymomatous myasthenia gravis (TMG) patients is thymectomy, whereas its role in non-TMG (NTMG) is still under debate. The objective of this study is to assess myasthenia gravis (MG) outcomes of thymectomy using the uniportal video-assisted thoracoscopic surgery (UVATS) technique for both groups and evaluate the procedure's efficacy and safety.

METHODS: We retrospectively collected data from January 2019 to December 2022 at Hospital Kuala Lumpur. The Myasthenia Gravis Activities of Daily Living (MG-ADL) scoring and the Myasthenia Gravis Foundation of America's Post Interventional Score (MGFA-PIS) measured our primary outcome. Secondary outcomes included surgery-related morbidity. All patients underwent a UVATS thymectomy, with the incision at the right anterior axillary line at the 5th intercostal space.

RESULTS: Out of 26 patients, 22 were analysed. The MG-ADL scores indicated a significant mean score reduction post-surgery [6.9; 95% confidence interval (CI): 4.42 to 9.67; P

Source: https://pubmed.ncbi.nlm.nih.gov/3967884 ... t9+e462414