Are the late results of thymectomy satisfactory in the treatment of myasthenia gravis?

Öz

Extended thymectomy should be recommended in patients with early onset, generalized MG and positive acetylcholine receptor antibodies, and associated thymoma.

Anahtar Kelimeler

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Myastenia Gravis tedavisi için yapılan timektominin geçdönem sonuçları tatmin edici midir?

Öz

Genişletilmiş timektomi, erken dönem ve jeneralize myastenilerde, asetilkolin reseptör antikoru pozitifliğinde ve timoma ile birlikte görülmesi durumunda tercih edilmelidir.   

 

 

Anahtar Kelimeler

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Kaynakça

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2. Bachmann K, Burkhardt D, Schreiter I, et al. Thymectomy is more effective than conservative treatment for myasthenia gravis regarding outcome and clinical improvement. Surgery 2009; 145: 392-8.
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6. Van Schil PE, Mercelis R, Lucchi M. Extended versus standard thymectomy for myasthenia gravis. In MK Ferguson (ed.). Difficult Decisions in Thoracic Surgery. An Evidence-based approach 1. Springer-Verlag London. 2014. p. 677-687.
7. Lucchi M, Van Schil P, Schmid R, Rea F, Melfi F, Athanassiadi K, Zielinski M, Treasure T; EACTS Thymic Working Group. Thymectomy for thymoma and myasthenia gravis. A survey of current surgical practice in thymic disease amongst EACTS members. Interact Cardiovasc Thorac Surg 2012; 14: 765-770.
8. Zieliński M, Kuzdzal J, Szlubowski A, Soja J. Comparison of late results of basic transsternal and extended transsternal thymectomies in the treatment of myasthenia gravis. Ann Thorac Surg 2004; 78: 253-8.

9. Roth T, Ackermann R, Stein R, Inderbitzi R, Rösler K, Schmid RA. Thirteen years follow-up after radical transsternal thymectomy for myasthenia gravis. Do short-term results predict long-term outcome? Eur J Cardiothorac Surg. 2002; 21: 664-70.
10. Bachmann K, Burkhardt D, Schreiter I, et al. Long-term outcome and quality of life after open and thoracoscopic thymectomy for myasthenia gravis: analysis of 131 patients. Surg Endosc 2008; 22: 2470-7.