Abstract |
The aims of this study are to present the results of videothoracoscopic thymectomy in patients with myasthenia gravis (MG) and to predict the factors affecting the next morning discharge (NMD). This is a retrospective analysis of the prospectively recorded data of 181 consecutive myasthenic patients who underwent videothoracoscopic thymectomy from June 2002 to September 2009. Sixty-one patients (33.7%) were discharged on the next morning. Univariate and multivariate analyses were evaluated to determine the predictors for NMD. Mean calculated variables were: age (29.8 years), duration of symptoms (22.5 months), duration of surgery (51.3 min), postoperative stay (2.1) days, and visual analogue scale (2.1). No mortality occurred. Four patients were required to stay in intensive care unit (ICU) with a mean of 18.6 h. With logistic regression analysis, duration of operation (DoO) was calculated to be the only predictive factor for NMD (P=0.006). Video-assisted thoracoscopic thymectomy (VAT thymectomy) is a safe surgery procedure with a smooth postoperative period for MG. Although a detailed analysis was performed, only DoO was found to be a predictive factor for NMD in MG patients.
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Authors | Alper Toker, Serhan Tanju, Sedat Ziyade, Berker Ozkan, Zerrin Sungur, Yesim Parman, Piraye Serdaroglu, Feza Deymeer |
Journal | Interactive cardiovascular and thoracic surgery
(Interact Cardiovasc Thorac Surg)
Vol. 9
Issue 6
Pg. 995-8
(Dec 2009)
ISSN: 1569-9285 [Electronic] England |
PMID | 19770134
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Child
- Humans
- Intensive Care Units
- Length of Stay
- Logistic Models
- Middle Aged
- Myasthenia Gravis
(surgery)
- Odds Ratio
- Patient Discharge
- Patient Selection
- Retrospective Studies
- Thoracic Surgery, Video-Assisted
(adverse effects)
- Thymectomy
(adverse effects, methods)
- Time Factors
- Treatment Outcome
- Young Adult
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