摘要
胸腺上皮肿瘤是前纵隔最常见的原发性肿瘤,以胸腺瘤较为多见,在我国居民中发生率较低。胸腺瘤生长速度缓慢,但具有潜在侵袭性,容易浸润周围组织和器官,部分合并重症肌无力(MG),故对于可手术切除的此类疾病,胸腺切除术常作为首选治疗措施。标准术式为胸腺扩大切除术,即对胸腺与其周边脂肪组织行完整切除处理。应用较为广泛的手术方法包括机器人辅助胸腔镜手术(RATS)、电视辅助胸腔镜手术(VATS)与胸骨正中切开术。随着微创技术的发展成熟,微创手术逐渐占主导地位。有充足的研究证明与传统胸骨正中切开术相比,微创胸腺切除术治疗早期胸腺瘤的短期效果更好,但对于理想手术方式及入路无统一意见。
Thymic epithelial tumor is the most common primary tumor in the anterior mediastinum. Thy-moma is more common, and the incidence is low among Chinese residents. Thymomas grow slowly, but are potentially invasive and easily infiltrate surrounding tissues and organs, partly with myas-thenia gravis (MG). Therefore, for surgical resection of such diseases, thymectomy is often used as the preferred treatment. The standard surgical procedure is extended thymectomy, that is, com-plete resection of the thymus and surrounding adipose tissue. The widely used surgical methods in-clude robot-assisted thoracoscopic surgery (RATS), video-assisted thoracoscopic surgery (VATS) and median sternotomy. With the development of minimally invasive technology, minimally invasive surgery has gradually dominated. Ample studies have shown that compared with traditional me-dian sternotomy, minimally invasive thymectomy has a better short-term effect in the treatment of early thymoma, but there is no consensus on the ideal surgical method and approach.
出处
《临床医学进展》
2023年第1期406-414,共9页
Advances in Clinical Medicine
