RESUMO
Objective:To observe the effect of bilateral thoracoscopic surgery for invasive thymoma complicated with myasthenia gravis,and to explore feasibility of surgical procedure.Methods:Bilateral thoracoscopic extended thymectomy was performed in one patient with invasive thymoma complicated with myasthenia gravis,with complete resection of thymus and anterior mediastinal adipose tissue through bilateral approach,and the curative effect was observed.Results:Bilateral thoracoscopic thymectomy for invasive thymoma had radical effects with rapid recovery after surgery,avoiding large surgical trauma and more complications in open surgery and flawed in removing contralateral fat and ectopic thymus with unilateral thoracoscope.Conclusion:Bilateral thoracoscopic extended thymectomy has radical effects for invasive thymoma complicated with myasthenia gravis,confirming its feasible surgical procedure.
RESUMO
Objective: To observe the effect of bilateral thoracoscopic surgery for invasive thymoma complicated with myasthenia gravis, and to explore feasibility of surgical procedure. Methods: Bilateral thoracoscopic extended thymectomy was performed in one patient with invasive thymoma complicated with myasthenia gravis, with complete resection of thymus and anterior mediastinal adipose tissue through bilateral approach, and the curative effect was observed. Results: Bilateral thoracoscopic thymectomy for invasive thymoma had radical effects with rapid recovery after surgery, avoiding large surgical trauma and more complications in open surgery and flawed in removing contralateral fat and ectopic thymus with unilateral thoracoscope. Conclusion: Bilateral thoracoscopic extended thymectomy has radical effects for invasive thymoma complicated with myasthenia gravis, confirming its feasible surgical procedure.
RESUMO
Objective: To summarize the therapeutic effect of free deep inferior epigastric perforator (DIEP) flap and anterolateral thigh perforator (ALTP) flap in repairing skin and soft tissue defects in chest wall tumor resection.Methods: One old male patient with malignant fibrous histiocytoma of chest wall in China-Japan Union Hospital received operation,and the tumor was extendedly resected.The remaining chest wall defects were 10 cm×10 cm and 18 cm×14 cm,respectively.Free DIEP and ALTP flaps were used to repair the defects,and vascular pedicle was anastomosed with internal mammary artery and thoracic lateral artery,respectively.Results:After operation,the donor area was sutured directly,and two flaps survived with good appearance.The skin of ALTP flap was flatter than that of DIEP flap,and the texture and color of skin were close to those around chest wall.Conclusion:Free DIEP and ALTP flaps are ideal choice for repairing skin and soft tissue defects after resection in the male patient with chest wall tumor.