Video Assisted Thoracoscopy Surgery (VATS) as Minimal Invasive Approach for Thymoma with Myasthenia Gravis in Gatot Soebroto Central Army Hospital: A Case Report

Penulis

  • Febyan Faculty of Medicine, Krida Wacana Christian University, West Jakarta, Indonesia
  • Joni Indah Sari Faculty of Medicine, Krida Wacana Christian University, West Jakarta, Indonesia
  • Sri Handawati Wijaya Faculty of Medicine, Krida Wacana Christian University, West Jakarta, Indonesia
  • Andreas Andri Lensoen Head of Cardiothoracic and Vascular Surgery Department, Gatot Soebroto Central Army Hospital, Central Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v45i1.840

Kata Kunci:

Thymoma, video-assisted thoracoscopic surgery

Abstrak

Mediastinal thymoma is rare, although it is the most common anterior mediastinal mass. It tends to grow slowly and benign, but still potentially malignant. Surgery is the mainstay of treatment. The procedure of choice is still standard or partial sternotomy thymomectomy. Video Assisted Thoracoscopic Surgery (VATS) to mediastinal and lung tumor has shown promising result. The potential advantages of this approach compared to sternotomy include better cosmetic, less postoperative pain, shorter length of stay, earlier return to daily activities, less bleeding and fewer other complication.

 

Timoma adalah jenis tumor mediastinum yang langka, banyak ditemukan di mediastinum anterior. Timoma berkembang lambat dan bersifat jinak, namun dapat menjadi ganas. Pembedahan merupakan penatalaksanaan utama, prosedur timektomi atau sternotomi parsial masih banyak digunakan. Bedah toraks dibantu video/video assisted thoracoscopy (VATS) telah menunjukkan hasil sangat baik untuk tumor mediastinum dan tumor paru. Keunggulan teknik VATS dibandingkan dengan teknik sternotomi, dari segi kosmetik lebih baik, nyeri pasca-operasi lebih sedikit, masa perawatan lebih singkat, lebih cepat kembali ke aktivitas sehari-hari, pendarahan dan komplikasi lainnya minimal.

 

Unduhan

Data unduhan belum tersedia.

Referensi

Riedel RF, Burfeind WR. Thymoma: Benign appearance, malignant potential. Oncol. 2006;11(8):887-94.

Fischer JE, Bland KI, Callery MP. Mastery of surgery. Philadeplhia: Lippincott Williams & Wilkins; 2006 .p. 447.

Tomaszek S, Wigle DA, Keshavjee S, Fischer S. Thymomas: Review of current clinical practice. Ann Thorac Surg. 2009;87(6):1973–80.

Detterbeck FC, Nicholson AG, Kondo K, Van Schil P, Moran C. The masaoka-koga stage classification for thymic malignancies. J Thorac Oncol. 2011;6(7):1711-6.

Marx A, Chan JKC, Coindre JM, Detterbeck F, Girard N, Harris NL, et al. The 2015 World Health Organization classificationof tumors of the thymus. J Thorac Oncol.2015;10(10):1383-95.

Sperling B, Marschall J, Kennedy R, Pahwa P, Chibbar R.. Thymoma: A review of the clinical and pathological findings in 65 cases. Can J Surg. 2003;46(1):37–42.

Ried M, Neu R, Schalke B, von Süßkind-Schwendi M, Sziklavari Z, Hofmann HS. Radical surgical resection of advanced thymoma and thymic carcinoma infiltrating the heart or great vessels with cardiopulmonary bypass support. J Cardiothorac Surg. 2015;10:1-7.

Liu TM, Lin MW, Hsieh MS, Kao MW, Chen KC, Chang CC, et al. Video-assisted thoracoscopic surgical thymectomy to treat early thymoma: A comparison with the conventional transsternal approach. Ann Surg Oncol. 2014;21:322–8.

Coronia FP, Fiorelli A, Arrigo E, Trovato S, Santini M, Monte AI. Bilateral single-port thoracoscopic extended thymectomy for management of thymoma and myasthenia gravis: case report. J Cardiothorac Surg. 2016;11(153):1-4.

Lashkarizadeh MR, Ajami R, Vahedian M, Pourseyedi B, Zeynali H, Fekri MS, et al. Video-assisted thoracoscopic thymectomy as an optimal treatment in myasthenia gravis. J Minim Invasive Surg Sci. 2013;2(2):144-48.

Yuan ZY, Cheng GY, Sun KL, Mao YS, Li J, Wang YG, et al. Comparative study of video-assisted thoracic surgery versus open thymectomy for thymoma in one single center. J Thorac Dis. 2014;6:726-33.

Ye B, Tantai JC, Ge XX, Li W, Feng J, Cheng M et al. Surgical techniques for early-stage thymoma: Video-assisted thoracoscopic thymectomy versus transsternal thymectomy. J Thorac Cardiovasc Surg. 2014;147:1599-603.

Jurado J, Javidfar J, Newmark A, Lavelle M, Bacchetta M, Gorenstein L, et al. Minimally invasive thymectomy and open thymectomy: outcome analysis of 263 patients. Ann Thorac Surg. 2012;94:974-81.

Friedant AJ, Handorf E, Su S, Scott WJ. Minimally invasive versus open thymectomy for thymic malignancies: Systematic review and meta-analysis. J Thorac Oncol. 2016;11(1):30-8.

Ye BO, Tantai JC, Ge XX, et al. Surgical techniques for early-stage thymoma: Video-assistedthoracoscopic thymectomy versus transsternal thymectomy. J Thorac Cardiovasc Surg 2014;147:1599-603.

Fukai R, Inoue T, Araki O, Shiono H, Watanabe K. Video-thoracoscopic extended thymectomy with sternal elevation and carbon dioxide insufflation. J Case Rep Stud. 2015;3(4):1-5.

Melfi FMA, Fanucchi O, Mussi A. Minimally invasive mediastinal surgery. Ann Cardiothorac Surg. 2016;5(1):10-7.

Unduhan

Diterbitkan

2018-01-02

Cara Mengutip

Febyan, Sari, J. I., Wijaya, S. H., & Lensoen, A. A. (2018). Video Assisted Thoracoscopy Surgery (VATS) as Minimal Invasive Approach for Thymoma with Myasthenia Gravis in Gatot Soebroto Central Army Hospital: A Case Report. Cermin Dunia Kedokteran, 45(1), 39–41. https://doi.org/10.55175/cdk.v45i1.840

Terbitan

Vol 45 No 1 (2018): Dermatologi

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