| 摘要: |
| ［摘要］ 重症肌无力的治疗主要包括药物治疗、手术治疗和免疫调节治疗等方式，手术治疗正逐渐成为重症肌无力患者的主要选择，其中胸腔镜下胸腺扩大切除术已成为重症肌无力的主要手术方法之一，而剑突下双拉钩胸腔镜下胸腺扩大切除术能更好地暴露胸骨后间隙，有助于完整地切除胸腺及前纵隔脂肪组织，具有手术创伤小和住院时间短等优点。该文描述其基本操作流程。 |
| 关键词: 重症肌无力 胸腺扩大切除术 胸腔镜 剑突下双拉钩 |
| DOI：10.3969/j.issn.1674-3806.2023.06.04 |
| 分类号:R 746.1 |
| 基金项目:国家重点研发计划项目（编号：2022YFF0710004） |
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| A new surgical procedure for the treatment of myasthenia gravis—thoracoscopic extended thymectomy with double retractors subxiphoid |
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ZHANG Cheng-cheng, WU Liang, FAN Jiang
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Department of Thoracic Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
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| Abstract: |
| ［Abstract］ The treatments of myasthenia gravis mainly include medication, surgical treatments and immunomodulatory therapy. The surgical treatments are increasingly becoming a main option for more patients with myasthenia gravis,among which, thoracoscopic extended thymectomy has become one of the main surgical procedures in myasthenia gravis. However, thoracoscopic extended thymectomy with double retractors subxiphoid has the advantages of better exposure of the retrosternal space, helping to completely resect the thymus and anterior mediastinal adipose tissues, having small surgical trauma and short hospital stay. This paper describes the basic operating process of the thoracoscopic extended thymectomy with double retractors subxiphoid. |
| Key words: Myasthenia gravis Extended thymectomy Thoracoscopy Double retractors subxiphoid |
