書誌事項
- タイトル別名
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- Mediastinoscopic Extended thymectomy using a sternum lifting method.
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説明
We performed a mediastinoscopic extended thymectomy using a sternum lifting method on a patient with myasthenia gravis without thymoma. We reported this surgical method, focusing on its technique. The papient was a 42-year old female with myasthenia gravis, II B under Osserman classification.<BR>First, the thymic tissue from the inferior pole of the thyroid gland up to the superior mediastinum was detached by a cervical collar incision. Next, after the entire sternum was elevated using a strip of tape inserted in the longitudinal axial direction, the thymes, including the anterior mediastinal fat tissue, was removed under the mediastinoscope.<BR>The surgical procedure was completed in 5 and a half hours, with a 200cc hemorrhage, and the removed thymus weighed 42g. There was hardly any postoperative pain due to the sternum elevation and mediastinal maneuver.<BR>With this technique, an extended thymectomy which is equivalent to a midline sternotomy approach can be accomplished. Moreover, it is a more safely applicable method to pleurodesis cases and pulmonary insufficiency cases with a dysfunctional ventilation lung.
収録刊行物
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- 日本呼吸器外科学会雑誌
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日本呼吸器外科学会雑誌 11 (2), 181-185, 1997
日本呼吸器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204362112896
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- NII論文ID
- 110007153911
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- NII書誌ID
- AN10467885
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- ISSN
- 18814158
- 09190945
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可