Right VATS Radical Thymectomy
Radical thymectomy is the primary surgical treatment for thymomas, particularly for those suffering from myasthenia gravis as a result. Several surgical approaches exist, with a subxiphoid approach demonstrating good oncological and biochemical outcomes.
This video demonstrates a radical thymectomy via a subxiphoid approach in conjunction with standard VATS ports. The additional subxiphoid port allowed easy identification and preservation of both phrenic nerves and aided dissection. The patient suffered from myasthenia gravis as a result of the suspected thymoma and had a background of hypertension, Parkinson’s disease, and a sleep disorder.
Liu Y, Zhang J, Wu W, Zhang H, Zhao C, Zhang M. Subxiphoid thoracoscopic thymectomy for myasthenia gravis. Interact Cardiovasc Thorac Surg. 2022 Feb 21;34(3):482-484. doi: 10.1093/icvts/ivab262. PMID: 34626192; PMCID: PMC8860410.