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2015 ; 4
(6
): 540-4
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Video assisted thoracic surgery (VATS) for recurrent thymoma
#MMPMID26693150
Marulli G
; Comacchio GM
; Rea F
Ann Cardiothorac Surg
2015[Nov]; 4
(6
): 540-4
PMID26693150
show ga
Between 10-30% of patients that undergo a radical operation for thymoma develop a
recurrence in a variable range of time. The surgical treatment of thymoma
relapses is an established and effective therapeutic approach, particularly for a
single intrathoracic recurrence; however, no agreement has been reached on the
best surgical approach and the extent of surgical resection, particularly in the
most common event of pleural relapses. In the era of minimally invasive approach
for most thoracic pathologies, the role of the video assisted thoracic surgery
(VATS) approach for thymoma recurrence resection is still unclear and
controversial: to date, only few authors have reported in their series a
thoracoscopic resection of pleuro-pulmonary relapses, mostly when a single lesion
was present. Furthermore, a thoracoscopic approach for mediastinal recurrence has
been rarely reported after a previous sternotomy to resect the primary tumor. It
is likely that in the future, the role of VATS for thymic recurrence resection
will be better defined and extensively studied.
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