Subxiphoid approach for video-assisted thoracoscopic extended thymectomy in treating myasthenia gravis

Chung Ping Hsu, Cheng Yen Chuang, Nan Yung Hsu, Sen Ei Shia

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)


Previous experience using the transcervical, left or right thoracic approach for thymectomy, although demonstrating promising efficacy, involves some compromise of the surgical exposure. We performed subxiphoid video-assisted thoracoscopic extended thymectomy (SxVATET) on eight consecutive myasthenic patients. The mean operation time, weights of resected specimen, and thoracic drainage period were 156.9 min (range 120-200 min), 77.5 g (range 40-100 g), and 3.4 days (range 3-4 days), respectively. There were no surgical complications or mortalities, and the cosmesis is satisfying. Our experience demonstrates that SxVATET provides an excellent view of the bilateral pleural cavities. Subsequently, extended thymectomy, resecting ample mediastinal fatty tissue in addition to the thymic glands, can be safely undertaken.

Original languageEnglish
Pages (from-to)4-8
Number of pages5
JournalInteractive Cardiovascular and Thoracic Surgery
Issue number1
Publication statusPublished - Sept 2002
Externally publishedYes


  • Myasthenia gravis
  • Subxiphoid
  • Thoracoscopy
  • Thymectomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery


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