Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors
Purpose of the study. Evaluation of the safety and effectiveness of single-port thoracoscopic thymectomy in comparison with traditional three-port thymectomy in patients with stage I and II thymic epithelial tumors.Patients and methods. The results of 50 thoracoscopic thymectomies performed from Jan...
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QUASAR, LLC
2023-12-01
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| Series: | Исследования и практика в медицине |
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| Online Access: | https://www.rpmj.ru/rpmj/article/view/955 |
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| author | E. A. Epifantsev A. V. Smirnov V. Yu Gritsun A. A. Keshvedinova Yu. V. Ivanov |
| author_facet | E. A. Epifantsev A. V. Smirnov V. Yu Gritsun A. A. Keshvedinova Yu. V. Ivanov |
| author_sort | E. A. Epifantsev |
| collection | DOAJ |
| description | Purpose of the study. Evaluation of the safety and effectiveness of single-port thoracoscopic thymectomy in comparison with traditional three-port thymectomy in patients with stage I and II thymic epithelial tumors.Patients and methods. The results of 50 thoracoscopic thymectomies performed from January 2019 to May 2023 on patients with stage I and II thymic epithelial tumors without the presence of myasthenia were analyzed. The age of the patients ranged from 20 to 75 years, with a median of 44 years. There were 28 (56 %) women, 22 (44 %) men. The minimum size of the removed thymoma in the study was 20 mm, the maximum was 165 mm. Out of the 50 patients who underwent singleand three-port thoracoscopic thymectomy, 42 (84 %) had tumor diameters of 70 mm or less, and 8 (16 %) had tumor diameters greater than 70 mm. Tumor size was significantly larger in the three-port thymectomy group (43 mm [35 mm; 55 mm] vs. 60 mm [38 mm; 78 mm], p = 0.044).Results. The analysis noted a statistically significant increase in the duration of the operation in the group of three-port thoracoscopic thymectomies (duration of operations – 107.5 minutes [70 minutes; 132.5 minutes] versus 70.0 minutes [57 minutes; 79 minutes] in the group with a single-port approach). A statically significant result was also obtained in terms of drainage of pleural cavity drainage and, as a consequence, in duration of postoperative bed rest. Patients operated through a single-port approach stayed in the hospital for 3 to 5 days on average (4.0 days), while those with a three-port approach stayed from 3 to 13 days on average (5.0 days). A comparative analysis revealed a significant reduction in the length of hospital stay in patients who underwent single-port thoracoscopic thymectomy, in contrast to those undergoing three-port surgical interventions.Conclusion. This study is the first in Russia to compare oneand three-port techniques for removing thymic tumors in a number of patients sufficient for statistical calculations. It has been shown that for thymic tumors up to 5 cm, single-port thoracoscopic thymectomy compared to three-port does not lead to prolongation of the operation or an increase in intraand postoperative complications. Therefore, in our opinion, it is the preferable option. |
| format | Article |
| id | doaj-art-0a8eb174f663498b8fb807c249690c73 |
| institution | Kabale University |
| issn | 2410-1893 |
| language | Russian |
| publishDate | 2023-12-01 |
| publisher | QUASAR, LLC |
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| series | Исследования и практика в медицине |
| spelling | doaj-art-0a8eb174f663498b8fb807c249690c732025-02-03T07:12:18ZrusQUASAR, LLCИсследования и практика в медицине2410-18932023-12-01104708110.17709/2410-1893-2023-10-4-6520Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumorsE. A. Epifantsev0A. V. Smirnov1V. Yu Gritsun2A. A. Keshvedinova3Yu. V. Ivanov4Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies FMBA of Russia<p> Moscow, Russian FederationFederal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies FMBA of Russia<p> Moscow, Russian FederationFederal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies FMBA of Russia<p> Moscow, Russian FederationFederal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies FMBA of Russia<p> Moscow, Russian FederationFederal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies FMBA of Russia; <p> Central Research Institute of Tuberculosis<p> Moscow, Russian FederationPurpose of the study. Evaluation of the safety and effectiveness of single-port thoracoscopic thymectomy in comparison with traditional three-port thymectomy in patients with stage I and II thymic epithelial tumors.Patients and methods. The results of 50 thoracoscopic thymectomies performed from January 2019 to May 2023 on patients with stage I and II thymic epithelial tumors without the presence of myasthenia were analyzed. The age of the patients ranged from 20 to 75 years, with a median of 44 years. There were 28 (56 %) women, 22 (44 %) men. The minimum size of the removed thymoma in the study was 20 mm, the maximum was 165 mm. Out of the 50 patients who underwent singleand three-port thoracoscopic thymectomy, 42 (84 %) had tumor diameters of 70 mm or less, and 8 (16 %) had tumor diameters greater than 70 mm. Tumor size was significantly larger in the three-port thymectomy group (43 mm [35 mm; 55 mm] vs. 60 mm [38 mm; 78 mm], p = 0.044).Results. The analysis noted a statistically significant increase in the duration of the operation in the group of three-port thoracoscopic thymectomies (duration of operations – 107.5 minutes [70 minutes; 132.5 minutes] versus 70.0 minutes [57 minutes; 79 minutes] in the group with a single-port approach). A statically significant result was also obtained in terms of drainage of pleural cavity drainage and, as a consequence, in duration of postoperative bed rest. Patients operated through a single-port approach stayed in the hospital for 3 to 5 days on average (4.0 days), while those with a three-port approach stayed from 3 to 13 days on average (5.0 days). A comparative analysis revealed a significant reduction in the length of hospital stay in patients who underwent single-port thoracoscopic thymectomy, in contrast to those undergoing three-port surgical interventions.Conclusion. This study is the first in Russia to compare oneand three-port techniques for removing thymic tumors in a number of patients sufficient for statistical calculations. It has been shown that for thymic tumors up to 5 cm, single-port thoracoscopic thymectomy compared to three-port does not lead to prolongation of the operation or an increase in intraand postoperative complications. Therefore, in our opinion, it is the preferable option.https://www.rpmj.ru/rpmj/article/view/955thymomathymic epithelial tumorssingle-port thymectomythoracoscopic thymectomyvats thymectomyuvats thymectomysingle port |
| spellingShingle | E. A. Epifantsev A. V. Smirnov V. Yu Gritsun A. A. Keshvedinova Yu. V. Ivanov Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors Исследования и практика в медицине thymoma thymic epithelial tumors single-port thymectomy thoracoscopic thymectomy vats thymectomy uvats thymectomy single port |
| title | Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors |
| title_full | Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors |
| title_fullStr | Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors |
| title_full_unstemmed | Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors |
| title_short | Comparative analysis of the immediate results of thoracoscopic thymectomy using single-port and three-port approaches in the treatment of non-invasive epithelial thymic tumors |
| title_sort | comparative analysis of the immediate results of thoracoscopic thymectomy using single port and three port approaches in the treatment of non invasive epithelial thymic tumors |
| topic | thymoma thymic epithelial tumors single-port thymectomy thoracoscopic thymectomy vats thymectomy uvats thymectomy single port |
| url | https://www.rpmj.ru/rpmj/article/view/955 |
| work_keys_str_mv | AT eaepifantsev comparativeanalysisoftheimmediateresultsofthoracoscopicthymectomyusingsingleportandthreeportapproachesinthetreatmentofnoninvasiveepithelialthymictumors AT avsmirnov comparativeanalysisoftheimmediateresultsofthoracoscopicthymectomyusingsingleportandthreeportapproachesinthetreatmentofnoninvasiveepithelialthymictumors AT vyugritsun comparativeanalysisoftheimmediateresultsofthoracoscopicthymectomyusingsingleportandthreeportapproachesinthetreatmentofnoninvasiveepithelialthymictumors AT aakeshvedinova comparativeanalysisoftheimmediateresultsofthoracoscopicthymectomyusingsingleportandthreeportapproachesinthetreatmentofnoninvasiveepithelialthymictumors AT yuvivanov comparativeanalysisoftheimmediateresultsofthoracoscopicthymectomyusingsingleportandthreeportapproachesinthetreatmentofnoninvasiveepithelialthymictumors |