Thymectomie par Video-Thoracoscopie Bilatérale : Quelle Place Parmi les Nouvelles Techniques Chirurgicales ?



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Traibi A, Ouadnouni Y, Rouimi A, Ouarssani A, Smahi M. Thymectomie par Video-Thoracoscopie Bilatérale : Quelle Place Parmi les Nouvelles Techniques Chirurgicales ?. ATD [Internet]. 2018 Nov. 24 [cited 2024 Jul. 14];2019. Available from:


Thymic tumors account for about 50% of whole tumors of the anterior mediastinum. The classic approach is total sternotomy (ST). However, for small, well-encapsulated tumors, video thoracoscopy (VATS) may be an acceptable alternative. We discuss the evolution of surgical treatment in our department.


Lee CY, Kim DJ, Lee JG, Park IK, Bae MK, Chung KY. Bilateral video-assisted thoracoscopic thymectomy has a surgical extent similar to that of transsternal extended thymectomy with more favorable early surgical outcomes for myasthenia gravis patients. 2011 Mar;25(3):849-54.

Yuan ZY, Cheng GY, Sun KL, Mao YS, Li J, Wang YG, et al. Comparative study of video-assisted thoracic surgery versus open thymectomy for thymoma in one single center. J Thorac Dis. 2014 Jun;6(6):726-33.

Ye B, Tantai JC, Ge XX, Li W, Feng J, Cheng M, et al. Surgical techniques for early-stage thymoma: video-assisted thoracoscopic thymectomy versus transsternal thymectomy. J Thorac Cardiovasc Surg. 2014 May;147(5):1599-603.

Siwachat S, Tantraworasin A, Lapisatepun W, Ruengorn C, Taioli E, Saeteng S. Comparative clinical outcomes after thymectomy for myasthenia gravis: Thoracoscopic versus trans-sternal approach. Asian J Surg. 2018 Jan;41(1):77-85.

Infante M, Benato C, Giovannetti R, Bonadiman C, Canneto B, Falezza G, et al. VATS thymectomy for early stage thymoma and myasthenia gravis: combined right-sided uniportal and left-sided three-portal approach. J Vis Surg. 2017; 3: 144.

Xie X, Gan X, Chen B, Shen Z, Wang M, Zhang H, et al. Left- and right-sided video-assisted thoracoscopic thymectomy exhibit similar effects on myasthenia gravis. J Thorac Dis. 2016 Jan; 8(1): 124–132.

Bromberger B, Sonett J. Bilateral VATS thymectomy in the treatment of myasthenia gravis. Asvide. 2017;4:109.

Suda T, Kaneda S, Hachimaru A, Tochii D, Maeda R, Tochii S, et al. Thymectomy via a subxiphoid approach: single-port and robot-assisted. J Thorac Dis. 2016 Mar;8(Suppl 3):S265-71.

Zhang G, Li W, Chai Y, Wu M, Zhao B, Fan J, et al. Bilateral video-assisted thoracoscopic thymectomy for Masaoka stage IIIA thymomas. Thorac Cardiovasc Surg. 2015 Apr;63(3):206-11.

Agasthian T, Lin SJ. Clinical outcome of video-assisted thymectomy for myasthenia gravis and thymoma. Asian Cardiovasc Thorac Ann. 2010 Jun;18(3):234-9.

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Copyright (c) 2018 Akram Traibi et al.


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