机器人辅助胸腺瘤扩大切除术治疗重症肌无力一例报道  

Robot-assisted expanded thymectomy for myasthenia gravis:a case report

作　　者：周燕武[1] 李昕[1] 高阳[1] 程远大[1] 曾俊 李曦哲 张春芳[1] ZHOU Yanwu;LI Xin;GAO Yang;CHENG Yuanda;ZENG Jun;LI Xizhe;ZHANG Chunfang(Department of Thoracic Surgery,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院胸外科,湖南长沙410008

出　　处：《机器人外科学杂志（中英文）》2023年第4期371-375,共5页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(82172655)。

摘　　要：胸腺瘤合并重症肌无力是常见的胸外科疾病,治疗方式主要包括外科手术、化疗、放疗等。对于可完全切除的胸腺肿瘤,其治疗方式首选外科治疗。传统手术方式包括经胸骨正中切口开放手术和电视胸腔镜下切除胸腺瘤。随着达芬奇机器人辅助手术系统的发展和推广,应用达芬奇机器人治疗胸腺瘤可最大程度地完整切除肿瘤、保护邻近组织,且具有更高的安全性。本文介绍1例机器人辅助胸腺瘤扩大切除术治疗重症肌无力患者,治疗效果满意。Thymoma with myasthenia gravis is a common thoracic disease.Surgery,chemotherapy and radiotherapy are the main treatment for this disease.Thymic tumors are considered to be able to completely resect,surgical treatment is the first choice.Traditional surgical methods include open surgery and video-assisted thoracoscopic(VATS)resection of thymoma.With the development and promotion of Da Vinci robotic surgical system,robot-assisted thymectomy could completely remove the tumor as much as possible.It could also protect adjacent tissues with higher safety.A case of extended thymoma combined with myasthenia gravis under robot-assisted thymectomy with satisfactory outcomes was reported in this paper.

关 键 词：胸腺瘤 重症肌无力 机器人辅助手术 胸腺切除术 

分 类 号：R608[医药卫生—外科学] R736.3[医药卫生—临床医学]