Cancer Institute A national cancer institute
designated cancer center

Joseph Shrager

Publication Details

  • Extended Transcervical Thymectomy: The Ultimate Minimally Invasive Approach Shrager, J. B. ELSEVIER SCIENCE INC. 2010: S2128-S2134


    The ideal operative technique for thymectomy in myasthenia gravis remains controversial. Most surgeons perform thymectomy through median sternotomy; more recently, thoracoscopic and robotic approaches have been described. "Extended transcervical thymectomy" is an out-patient procedure that appears less morbid and costly than other approaches. It allows a complete extracapsular thymic resection. Kaplan-Meier complete stable remission rates after transcervical thymectomy are 33% and 35% at 3 and 6 years (higher including patients remaining on single-drug immunosuppression). The major surgical complication rate is 0.7%. We believe that this less morbid and less costly operation is a very reasonable choice in the surgical treatment of myasthenia gravis.

    View details for DOI 10.1016/j.athoracsur.2010.02.099

    View details for Web of Science ID 000277934200096

    View details for PubMedID 20493996

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