Reversed-T upper mini-sternotomy for extended thymectomy in myasthenic patients.

Grandjean, J G; Lucchi, M; Mariani, M A · Ann Thorac Surg · 2000

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Abstract

A minimally invasive approach for extended thymectomy in myasthenic patients is described. Through an 8- to 10-cm midline skin incision with a reversed-T upper mini-sternotomy, an extended thymectomy was performed. The mediastinal fat was removed beginning from the diaphragm up to the thyroid gland, and to each phrenic nerve, laterally. Extended thymectomy through a reversed-T upper mini-sternotomy warrants complete excision of thymic tissue while allowing a short hospitalization and good cosmetic result.

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