Comparative study for surgical management of thymectomy for non-thymomatous myasthenia gravis from the French national database EPITHOR.
Fiche publication
Date publication
septembre 2016
Journal
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BERNARD Alain, Dr PAGES Pierre-Benoit
Tous les auteurs :
Orsini B, Santelmo N, Pages PB, Baste JM, Dahan M, Bernard A, Thomas PA,
Lien Pubmed
Résumé
Thymectomy may be part of the therapeutic strategy in patients with myasthenia gravis (MG) without thymoma. Median sternotomy is still considered as the gold standard, but during the last 15 years, several groups have demonstrated the non-inferiority of cervicotomy with upper sternotomy and minimally invasive techniques. To date, there is no consensus on surgical procedure choice. The aim of our study was to compare the morbidity and mortality of three techniques [cervicotomy with upper sternotomy versus sternotomy versus video-assisted thoracic surgery (VATS)/robotic-assisted thoracic surgery (RATS)] from the national database EPITHOR and to analyse French epidemiology.
Référence
Eur J Cardiothorac Surg. 2016 Sep;50(3):418-22