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Surgical approach for the treatment of thymic carcinoma: 201 cases from a multi-institutional study

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dc.contributor.author이진구-
dc.contributor.author이창영-
dc.contributor.author이창영-
dc.date.accessioned2021-09-29T02:33:54Z-
dc.date.available2021-09-29T02:33:54Z-
dc.date.issued2020-12-
dc.identifier.issn2508-7940-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/184992-
dc.description.abstractPurpose: This study aimed to compare the outcomes of surgical approach (video-as sisted thoracoscopic surgery [VATS] vs. sternotomy vs. thoracotomy) for the treatment ofthymic carcinoma Methods: We retrospectively reviewed 201 patients with pathologically proven thymic carcinoma who underwent surgicalresection atfour Korean institutions. Results: From 2007 to 2013, 158 sternotomy, 33 VATS and 10 thoracotomy were con ducted forthymic carcinoma. Open group underwent more preoperative biopsy (41.8% and 50% vs. 15.2%, P=0.012) and neoadjuvant treatment (22.2% and 30% vs. 0%, P=0.008) than VATS group. In preoperative imaging, tumor size of VATS group was smaller than sternotomy group (3.8±1.1 cm vs. 5.8±2 cm, P<0.05) and 91% of the VATS group was clinicaltumor-node-metastasis (TNM) stage I. The lengths of chesttube and mechanical ventilation duration, postoperative hospital day and intensive care unit stay were shorterin VATS group than open group (P<0.001). The incidence of postoper ative complications of VATS group was lower than sternotomy group (P=0.014). The 5-year overall survival of the sternotomy, VATS and thoracotomy group were 100%, 100% and 87.5%±11.7%, respectively (P=0.107). The 5-year recurrence-free survival rate was not significantly different between the groups (55.4%±4.5%, 67.9%±12.1%, and 87.5%±11.7%; P=0.131) Conclusion: The VATS approach of surgical treatment for thymic carcinoma can be se lectively employed in small (<5 cm) and TNM stage I tumor without compromise of on cologic outcome-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherSungkyunkwan University School of Medicine-
dc.relation.isPartOfPRECISION AND FUTURE MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleSurgical approach for the treatment of thymic carcinoma: 201 cases from a multi-institutional study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthorYeong Jeong Jeon-
dc.contributor.googleauthorYong Soo Choi-
dc.contributor.googleauthorJong Ho Cho-
dc.contributor.googleauthorHong Kwan Kim-
dc.contributor.googleauthorGeun Dong Lee-
dc.contributor.googleauthorDong Kwan Kim-
dc.contributor.googleauthorChang Hyun Kang-
dc.contributor.googleauthorYoung Tae Kim-
dc.contributor.googleauthorChang Young Lee-
dc.contributor.googleauthorJin Gu Lee-
dc.identifier.doi10.23838/pfm.2020.00163-
dc.contributor.localIdA03225-
dc.contributor.localIdA03245-
dc.contributor.localIdA03245-
dc.relation.journalcodeJ04090-
dc.identifier.eissn2508-7959-
dc.subject.keywordThymus neoplasms-
dc.subject.keywordCarcinoma-
dc.subject.keywordThoracic surgery, video-assisted-
dc.contributor.alternativeNameLee, Jin Gu-
dc.contributor.affiliatedAuthor이진구-
dc.contributor.affiliatedAuthor이창영-
dc.contributor.affiliatedAuthor이창영-
dc.citation.volume4-
dc.citation.number4-
dc.citation.startPage149-
dc.citation.endPage160-
dc.identifier.bibliographicCitationPRECISION AND FUTURE MEDICINE, Vol.4(4) : 149-160, 2020-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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