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Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Gusakov V.V.

Siberian State Medical University;
Tomsk Regional Clinical Hospital

Thoracoscopic thymectomy for myasthenia gravis and non-invasive thymoma after COVID-19 pneumonia

Authors:

Topolnitskiy E.B., Gusakov V.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(8): 26‑33

DOI: 10.17116/hirurgia202408126

Read: 1608 times

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Table of contents

THORACOSCOPIC THYMECTOMY FOR MYASTHENIA GRAVIS AND NON-INVASIVE THYMOMA AFTER COVID-19 PNEUMONIA
THORACOSCOPIC THYMECTOMY FOR MYASTHENIA GRAVIS AND NON-INVASIVE THYMOMA AFTER COVID-19 PNEUMONIA

To cite this article:

Topolnitskiy EB, Gusakov VV. Thoracoscopic thymectomy for myasthenia gravis and non-invasive thymoma after COVID-19 pneumonia. Pirogov Russian Journal of Surgery. 2024;(8):26‑33. (In Russ.)
https://doi.org/10.17116/hirurgia202408126

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Modern guidelines have identified thoracoscopic thymectomy as a preferable option for myasthenia gravis and non-invasive thymoma. In the era of the new coronavirus infection, it is relevant to develop protocols for anesthetic and perioperative support of patients undergoing thymectomy for myasthenia gravis after COVID-associated pneumonia (CAP). We present the results of thoracoscopic thymectomies in patients after CAP. Multidisciplinary team should determine therapeutic support, the need for plasmapheresis and thymectomy. Plasmapheresis and glucocorticosteroids are effective in addition to anticholinesterase therapy at the stages of perioperative support for correction of neurological status in patients with myasthenia combined with chronic obstructive pulmonary disease and pulmonary hypertension. Outpatient direct anticoagulants are advisable considering the need for prolonged postoperative prevention of thrombotic events.

Keywords:

COVID-19
SARS-CoV-2
pandemic
myasthenia gravis
thoracoscopic thymectomy
chronic obstructive pulmonary disease

Authors:

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Gusakov V.V.

Siberian State Medical University;
Tomsk Regional Clinical Hospital

Received:

18.12.2023

Accepted:

11.01.2024

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