P36: Thoracoscopic resection of bulky thymoma using artificial pneumothorax
Poster Session

P36: Thoracoscopic resection of bulky thymoma using artificial pneumothorax

Hui Zhang, Miao Zhang, Xuefeng Pan

Thoracic Surgery, Xuzhou Central Hospital Affiliated to Southeast University, Xuzhou 221009, China

Background: To explore the feasibility and efficacy of thoracoscopic radical resection of huge retrosternal thymoma using artificial pneumothorax.

Methods: A retrospective analysis was performed on 19 patients with bulky thymoma who underwent thoracoscopic resection using artificial pneumothorax by CO2 insufflation.

Results: The operations were performed with unilateral or bilateral thoracic incisions via single lumen endotracheal intubation and two-lung ventilation. And this approach provided excellent exposure of the thoracic cavity and reliable control of the neuro-vascular structures in the anterior mediastinum, which was of vital importance for extended resection of malignant thymoma. Besides, the operation time was 140.0±51.4 min without conversion to thoracotomy or sternotomy. And the pathological diagnosis was confirmed by immunohistochemistry, including 5 cases of thymus lipomyoma, 1 case of thymus hyperplasia, 1 case of thymus cyst, 2 cases of type AB thymoma, 4 cases of type B1 thymoma, 4 cases of type B3 thymoma, and 2 cases of thymic carcinoma. Furthermore, there were no complications such as recurrent laryngeal nerve injury, phrenic nerve injury, pulmonary infection or atelectasis, with hospital stay of 5.0±3.0 d.

Conclusions: Thoracoscopic resection of thymoma using artificial pneumothorax is a preferable approach, which could be considered for patients with bulky retrosternal tumors.

Keywords: Artificial pneumothorax; two-lung ventilation; thymoma

doi: 10.3978/j.issn.2072-1439.2015.AB105

Cite this abstract as: Zhang H, Zhang M, Pan X. P36: Thoracoscopic resection of bulky thymoma using artificial pneumothorax. J Thorac Dis 2015;7(Suppl 3):AB105. doi: 10.3978/j.issn.2072-1439.2015.AB105

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