Surgical aspects of videothoracoscopic thymectomy using the mobilization method “from the thymic veins”
https://doi.org/10.52581/1814-1471/92/08
Abstract
Modern thymus surgery cannot be imagined without videoendoscopic technologies. Thymus surgeries are performed using multiport, single-port, subxiphoidal approaches, as well as with the participation of robotic systems. This report presents an original method of videothoracoscopic thymectomy, the peculiarity of which lies in the sequence of stages of the operation. According to the technique, before the isolation of the thymus gland in combination with mediastinal tissue, mobilization and ligation of the thymic veins are performed. The described technique is aimed at preventing a massive release of autoantibodies to nicotinic acetylcholine receptors into the bloodstream and preventing the development of postoperative myasthenic crisis.
About the Authors
E. B. Topolnitskiy
Siberian State Medical University; Tomsk Regional Clinical Hospital
Russian Federation
Russian Federation
Evgeniy B. Topolnitskiy, Dr. Med. sci., Associate Professor, Professor of the Department of Surgery with a Course of Mobilization Training and Disaster Medicine; head of Thoracic Surgery Department
2, Moskovskiy tract st., Tomsk, 634050
96, Ivan Chernykh st., Tomsk, 634069
N. A. Shefer
Siberian State Medical University; Tomsk Regional Clinical Hospital
Russian Federation
Russian Federation
Nikolay A. Shefer, Dr. Med. sci., assistant, the Department of Surgery with a Course of Mobilization Training and Disaster Medicine; thoracic surgeon, Thoracic Surgery Department
2, Moskovskiy tract st., Tomsk, 634050
96, Ivan Chernykh st., Tomsk, 634069
A. V. Podobed
N.N. Alexandrov National Cancer Center of Belarus
Belarus
Belarus
Aleksandr V. Podobed, Cand. Med. sci., thoracic surgeon, the Oncology (Thoracic) Department
Lesnoy, Minsk district, Minsk, 223040
S. V. Fesenko
Siberian State Medical University; Nizhnevartovsk Oncology Dispensary
Russian Federation
Russian Federation
Sergey V. Fesenko, oncologist, the Department of Abdominal and Thoracic Oncology; applicant for a degree, the Department of Surgery with a Course of Mobilization Training and Disaster Medicine
9a, Sportivnaya st., Nizhnevartovsk, 628615, Khanty-Mansiysk Autonomous District
2, Moskovskiy tract st., Tomsk, 634050
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Review
For citations:
Topolnitskiy E.B., Shefer N.A., Podobed A.V., Fesenko S.V. Surgical aspects of videothoracoscopic thymectomy using the mobilization method “from the thymic veins”. Issues of Reconstructive and Plastic Surgery. 2025;28(1):72-78. (In Russ.) https://doi.org/10.52581/1814-1471/92/08
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