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KMID : 0364019960290050589
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 5 p.589 ~ p.592
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Video-Assisted Thoracoscopic Thymectomy -Report Two Cases-
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Abstract
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We report two cases of the thoracoscopic thymectomies for patients of myasthenia gravis with tracheostomy(Osserman's Group-II-C-1). The first case was 47-year-old male with generalized myasthenia gravis who was under the mechanical ventilator
therapy
with tracheostomy. The second case was 60-year-old male with deteriorating generalized myasthenia gravis after the mechanical ventilator therapy. We decided to resect the thymus by video-assisted thoracoscopy to prevent the occurrence of
postoperative
complications, especially mediastinitis because all two cases were under tracheostomy state.
We could stop the mechanical ventilator therapy on the postoperative 16th day and 3rd day respectively and they were recovered without mediastinitis. So we concluded that video-assisted thoracoscopic thymectomy is a good alternative surgical
method
for
myasthenia gravis patients with tracheostomy.
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