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Conventional Techniques: Median Sternotomy

  • Alfredo Mussi
  • Marco Lucchi

Abstract

It is now well known and accepted that the thymus plays a central role in the pathogenesis of autoimmune nonthymomatous and thymomatous myasthenia gravis (MG) [1, 2, 3, 4, 5]. While in case of a thymoma oncological reasons make surgery mandatory and the sternotomy route is the golden standard, on the other hand the presence of a radiologically “normal” thymus makes the choices of the thymectomy and of its surgical approach more controversial [6, 7, 8, 9, 10, 11, 12]. From retrospective studies it is quite evident that all thymectomies are not equal both in extent of thymic tissue removed and in neurological results [5]. Briefly it can be stated that the more complete the thymectomy the better the results [5]; on the contrary, it is sufficient to leave behind 2 g of residual thymus to reduce the therapeutic value of the thymectomy and produce a lower remission rate [13].

Keywords

Thymic Tissue Mediastinal Pleura Extended Thymectomy Lower Remission Rate Transsternal Thymectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Alfredo Mussi
    • 1
  • Marco Lucchi
    • 1
  1. 1.Cardiac and Thoracic Department Division of Thoracic SurgeryUniversity of PisaPisaItaly

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