Cited 4 times in
Transsternal Maximal Thymectomy is Effective for Extirpation of Cervical Ectopic Thymic Tissue in the Treatment of Myasthenia Gravis
DC Field | Value | Language |
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dc.contributor.author | 이창영 | - |
dc.contributor.author | 정경영 | - |
dc.contributor.author | 함석진 | - |
dc.contributor.author | 박인규 | - |
dc.contributor.author | 양우익 | - |
dc.contributor.author | 이진구 | - |
dc.date.accessioned | 2015-05-19T17:35:30Z | - |
dc.date.available | 2015-05-19T17:35:30Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/108438 | - |
dc.description.abstract | PURPOSE: Extensive extirpation of cervico-mediastinal adipose tissue increases the chance of removing ectopic thymic tissues, thus potentially improving the prognosis of myasthenia gravis after thymectomy. We sought to increase efficacy and safety of transsternal maximal thymectomy (TSMT). MATERIALS AND METHODS: Twenty four patients who underwent TSMT from July 2006 to June 2007 were retrospectively reviewed and compared with 73 patients who underwent transsternal extended thymectomy (TSET) from January 2004 to May 2006. Ectopic thymic tissue in additionally excised cervicomediastinal fat tissue was examined histologically. RESULTS: In TSMT group, operation time, amount of cumulative drainage and duration of drainage were significantly higher than TSET group. However, the difference in hemoglobin count, amount of transfusion, duration of intensive care, postoperative hospital stay, and complication rates were not statistically different. There was no operative mortality in either group. Ectopic thymic tissue was found in 50% of patients. All patients had ectopic thymic tissues in the cervical area. Two patients had additional ectopic tissue in the aortopulmonary window, and 1 patient had ectopic tissue at posterior of the left bracheocephalic vein and lateral of the right phrenic nerve. CONCLUSION: TSMT is more effective in the extirpation of ectopic thymic tissues than TSET without significant impairment of safety, especially in the cervical area. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 987~992 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adipose Tissue/pathology | - |
dc.subject.MESH | Adipose Tissue/surgery | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Choristoma/pathology | - |
dc.subject.MESH | Choristoma/surgery | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Myasthenia Gravis/surgery* | - |
dc.subject.MESH | Neck | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Thymectomy/methods* | - |
dc.subject.MESH | Thymus Gland | - |
dc.subject.MESH | Young Adult | - |
dc.title | Transsternal Maximal Thymectomy is Effective for Extirpation of Cervical Ectopic Thymic Tissue in the Treatment of Myasthenia Gravis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Chang Young Lee | - |
dc.contributor.googleauthor | Jin Gu Lee | - |
dc.contributor.googleauthor | Woo Ik Yang | - |
dc.contributor.googleauthor | Suk Jin Haam | - |
dc.contributor.googleauthor | Kyung Young Chung | - |
dc.contributor.googleauthor | In Kyu Park | - |
dc.identifier.doi | 10.3349/ymj.2008.49.6.987 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03245 | - |
dc.contributor.localId | A03571 | - |
dc.contributor.localId | A04335 | - |
dc.contributor.localId | A01625 | - |
dc.contributor.localId | A02300 | - |
dc.contributor.localId | A03225 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 19108023 | - |
dc.subject.keyword | Thymectomy | - |
dc.subject.keyword | myasthenia gravis | - |
dc.contributor.alternativeName | Lee, Chang Young | - |
dc.contributor.alternativeName | Chung, Kyung Young | - |
dc.contributor.alternativeName | Haam, Seok Jin | - |
dc.contributor.alternativeName | Park, In Kyu | - |
dc.contributor.alternativeName | Yang, Woo Ick | - |
dc.contributor.alternativeName | Lee, Jin Gu | - |
dc.contributor.affiliatedAuthor | Lee, Chang Young | - |
dc.contributor.affiliatedAuthor | Chung, Kyung Young | - |
dc.contributor.affiliatedAuthor | Haam, Seok Jin | - |
dc.contributor.affiliatedAuthor | Park, In Kyu | - |
dc.contributor.affiliatedAuthor | Yang, Woo Ick | - |
dc.contributor.affiliatedAuthor | Lee, Jin Gu | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 49 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 987 | - |
dc.citation.endPage | 992 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.49(6) : 987-992, 2008 | - |
dc.identifier.rimsid | 35574 | - |
dc.type.rims | ART | - |
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