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The Annals of Thoracic Surgery, Vol 56, 653-656, Copyright © 1993 by The Society of Thoracic Surgeons
DJ Sugarbaker
Thoracoscopy has been found useful for both the diagnosis and treatment of
anterior mediastinal disorders. We have reserved it for use during
thymectomy in the management of new-onset myasthenia gravis and for the
resection of benign thymic, pericardial, and bronchogenic cysts. The
application of thoracoscopic techniques in the anterior mediastinum should
be approached conservatively. At this time, we believe it should be limited
to diagnostic procedures requiring adequate biopsy and to therapeutic
resections in which the extent of the resection is assured and therapeutic
efficacy is maintained. We await further advances in both the
instrumentation and technique before we are willing to undertake the
performance of more radical resections using thoracoscopy. The efficacy of
thoracoscopic thymectomy in the setting of myasthenia gravis awaits
confirmation by larger clinical trials with adequate follow-up.
ARTICLES
Thoracoscopy in the management of anterior mediastinal masses
Division of Thoracic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
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