Journal Title: تابستان 86
Article title: Evaluation of the Post-Operative Remission and Complications after Transcervical Thymectomy in Al-Zahra Hospital during 1996 until 2003

Article PDF File:
Page From: 53 To: 59      
Article abstract:
Introduction & Objective: It remains controversial whether transcervical thymectomy offers results equivalent to thymectomy by way of median sternotomy in the treatment of myasthenia gravis. Furthermore preoperative prognostic factors have not been clearly defined. Materials & Methods: This study is a retrospective chart review and interview of 37 patients completing transcervical thymectomy for myasthenia between 1996 and 2003 out of age, sex, drug resumption, operation time and complication were studied. Data were analyzed by Kaplan-Meier test and P<0.05 was significant. Results: From 37 patients, there were 65.8% women. Mean of age (+SD) was 31.36+10.4. There was no preoperative mortality, we had morbidities in 10.8% of patients. Mean length of stay was 5.5+1.44 days and mean follow up time was 35.39+20.44 months. The crude cumulative complete remission was 11.7%. Kaplain - Meier estimates of remission were 70.6% and 85.3% at 2 and 5 years, respectively. The significant relation was present between pathology of thymus, type of drug resumption before-operation and remission. Conclusions: Overall, extended transcervical thymectomy offers results that are comparable to those published for transternal procedure. Also, there is controversial about preoperatively predictor factor for remission.
Article KeyWords:
Transcervical Thymectomy, Myasthenia Gravis, Median Sternotomy
Article Authors:

	دكتر سيدعباس طباطبائي	First Author	tabatabie@med.mui.ac.ir
	دكتر سيدمظفـر هاشمي	Other Author
	دكتر مهـرداد قريشي	Other Author
	دكتر وحيد گـوهريان	Other Author
	دكتر مجتبي احمدي‌نژاد	Other Author
	دكتـر سياوش صحت	Other Author