Abstract
We report a total of ten cases of thymoma (in Stage I/II according to the Masaoka's classification) performed thymo-partial thymectomy by anterolateral incision with video-assisted thoracoscopic surgery. The subjects were three men and seven women, with an average age of 58±11.0 years old. Of the ten patients, three underwent associated resection of other organs, another three had postoperative complications, one had phrenic nerve paralysis associated with combined resection, and one had been suffering from atrial fibrillation before the operation. In accordance with the WHO classification, the most common histopathological diagnosis was Type AB in five cases (50%), and six (60%) was noted in StageI according to the Masaoka's classification after the operation. An average operating time was 92.3±39.2 minutes. An average operative blood loss was 20.5±34.1 ml. An average time of a chest tube drainage was 1.50±0.85 days, and an average hospital stay was 7.4±4.62 days. There have been no signs of recurrent disease in all the patients.
Thoracoscopy-assisted thymo-partial thymectomy by anterolateral incision is considered to be a minimally invasive and safe operative procedure for selected thymoma patients.