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Podobed A.V.

N.N. Alexandrov Republican Research and Practical Center for Oncology and Medical Radiology

Kurchin V.P.

Alexandrov National Cancer Center of Belarus

Bambiza A.V.

Aleksandrov National Center of Oncology and Medical Radiology

Savchenko O.G.

Aleksandrov National Center of Oncology and Medical Radiology

Malkevich V.T.

Aleksandrov National Center of Oncology and Medical Radiology

Comparative analysis of thoracoscopic and open thymectomy for thymoma stage I—II

Authors:

Podobed A.V., Kurchin V.P., Bambiza A.V., Savchenko O.G., Malkevich V.T.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(7): 31‑35

DOI: 10.17116/hirurgia202105131

Views: 1413

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Table of contents

COMPARATIVE ANALYSIS OF THORACOSCOPIC AND OPEN THYMECTOMY FOR THYMOMA STAGE I—II
COMPARATIVE ANALYSIS OF THORACOSCOPIC AND OPEN THYMECTOMY FOR THYMOMA STAGE I—II

To cite this article:

Podobed AV, Kurchin VP, Bambiza AV, Savchenko OG, Malkevich VT. Comparative analysis of thoracoscopic and open thymectomy for thymoma stage I—II. Pirogov Russian Journal of Surgery. 2021;(7):31‑35. (In Russ.)
https://doi.org/10.17116/hirurgia202105131

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To improve the short-term postoperative outcomes in patients with thymoma stage I-II by using of thoracoscopic thymectomy (VATS TE) and to compare this technique with open (OTE) thymectomy.

MATERIAL AND METHODS

A retrospective analysis included 98 patients who had undergone surgery for thymoma stage I and II for the period from January 2001 to December 2019. VATS TE (main group) was performed in 53 (54.1%) cases, OTE (control group) — in 45 (45.9%) patients.

RESULTS

Duration of VATS TE and OTE was similar. VATS procedure was characterized by less intraoperative blood loss (50 vs 225 ml, p=0.000), lower pain scores and morphine consumption (p=0.000), shorter postoperative pleural drainage (1.5 vs 3.8 days, p=0.000), and postoperative hospital-stay (7.6 vs 12.7 days, p=0.000). Incidence of major complications was significantly less in the main group (9.4% vs. 1.9%, p=0.001).

CONCLUSION

VATS TE is effective and safe procedure for thymoma stage I—II. Postoperative period after VATS TE is characterized by less intraoperative blood loss, incidence of complications, duration of pleural drainage and hospital-stay.

Keywords:

video-assisted thoracoscopy (VATS)
thymoma
thymectomy

Authors:

Podobed A.V.

N.N. Alexandrov Republican Research and Practical Center for Oncology and Medical Radiology

Kurchin V.P.

Alexandrov National Cancer Center of Belarus

Bambiza A.V.

Aleksandrov National Center of Oncology and Medical Radiology

Savchenko O.G.

Aleksandrov National Center of Oncology and Medical Radiology

Malkevich V.T.

Aleksandrov National Center of Oncology and Medical Radiology

Received:

04.05.2020

Accepted:

18.08.2020

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