{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:59:16Z","timestamp":1780045156901,"version":"3.53.1"},"reference-count":24,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2019,3]]},"DOI":"10.1016\/j.athoracsur.2018.08.071","type":"journal-article","created":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T23:57:00Z","timestamp":1539647820000},"page":"878-884","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Nerve-Sparing Surgery in Advanced Stage Thymomas"],"prefix":"10.1016","volume":"107","author":[{"given":"Vittorio","family":"Aprile","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Bertoglio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stylianos","family":"Korasidis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Bacchin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Fanucchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Dini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello Carlo","family":"Ambrogi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Lucchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2018.08.071_bib1","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1002\/1097-0142(19811201)48:11<2485::AID-CNCR2820481123>3.0.CO;2-R","article-title":"Follow-up study of thymomas with special reference to their clinical stages","volume":"48","author":"Masaoka","year":"1981","journal-title":"Cancer"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib2","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1016\/0003-4975(95)00669-C","article-title":"Thymoma: a multivariate analysis of factors predicting survival","volume":"60","author":"Blumberg","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib3","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1016\/S0003-4975(03)00555-1","article-title":"Therapy for thymic epithelial tumors: a clinical study of 1,320 patients from Japan","volume":"76","author":"Kondo","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib4","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.ejcts.2009.11.001","article-title":"Predictors of survival in patients with locally advanced thymoma and thymic carcinoma (Masaoka stages III and IVa)","volume":"37","author":"Cardillo","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib5","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1093\/ejcts\/ezv086","article-title":"Surgical treatment of recurrent thymoma: is it worthwhile?","volume":"49","author":"Marulli","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib6","first-page":"740","article-title":"Diaphragmatic function, diaphragmatic paralysis, and elevation of the diaphragm","volume":"Vol I","author":"Shields","year":"2004"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib7","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1016\/j.athoracsur.2010.01.057","article-title":"Preservation of phrenic nerve involved by stage III thymoma","volume":"89","author":"Yano","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib8","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.thorsurg.2016.04.009","article-title":"Best approach and benefit of plication for paralyzed diaphragm","volume":"26","author":"Podgaetz","year":"2016","journal-title":"Thorac Surg Clin"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib9","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1093\/ejcts\/ezv039","article-title":"Pleural recurrence of thymoma: surgical resection followed by hyperthermic intrathoracic perfusion chemotherapy","volume":"49","author":"Ambrogi","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib10","doi-asserted-by":"crossref","first-page":"1857","DOI":"10.1016\/j.jtcvs.2017.10.070","article-title":"Diaphragm and lung\u2013preserving surgery with hyperthermic chemotherapy for malignant pleural mesothelioma: a 10-year experience","volume":"155","author":"Ambrogi","year":"2018","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib11","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1186\/1748-717X-8-199","article-title":"Postoperative radiotherapy for completely resected Masaoka stage III thymoma: a retrospective study of 65 cases from a single institution","volume":"8","author":"Fan","year":"2013","journal-title":"Radiat Oncol"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib12","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1093\/icvts\/ivs133","article-title":"Which stages of thymoma benefit from adjuvant chemotherapy post-thymectomy?","volume":"15","author":"Attaran","year":"2012","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib13","doi-asserted-by":"crossref","first-page":"1866","DOI":"10.1016\/S0003-4975(03)01020-8","article-title":"Long-term outcome after multimodality treatment for stage III thymic tumors","volume":"76","author":"Venuta","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib14","doi-asserted-by":"crossref","first-page":"1840","DOI":"10.1016\/j.athoracsur.2004.12.047","article-title":"Advanced stage thymomas and thymic carcinomas: results of multimodality treatments","volume":"79","author":"Lucchi","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib15","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1200\/JCO.2004.10.113","article-title":"Tumor recurrence and survival in patients treated for thymomas and thymic squamous cell carcinomas: a retrospective analysis","volume":"22","author":"Str\u00f6bel","year":"2004","journal-title":"J\u00a0Clin Oncol"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib16","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1097\/COC.0000000000000024","article-title":"Treatment modalities and outcomes in patients with advanced invasive thymoma or thymic carcinoma: a retrospective multicenter study","volume":"39","author":"Modh","year":"2016","journal-title":"Am J Clin Oncol"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib17","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ejcts.2010.11.026","article-title":"Surgical treatment of stage III thymic tumors: a multi-institutional review from four Italian centers","volume":"39","author":"Marulli","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib18","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1016\/j.athoracsur.2003.07.042","article-title":"WHO histologic classification is a prognostic indicator in thymoma","volume":"77","author":"Kondo","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib19","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.jtcvs.2015.08.034","article-title":"Multimodality therapy for locally advanced thymomas: a propensity score\u2013matched cohort study from the European Society of Thoracic Surgeons database","volume":"151","author":"Leuzzi","year":"2016","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib20","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.ejcts.2004.04.041","article-title":"Long-term survival and prognostic factors in thymic epithelial tumours","volume":"26","author":"Rea","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib21","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1212\/WNL.53.5.1083","article-title":"Repetitive phrenic nerve stimulation in myasthenia gravis","volume":"53","author":"Zifko","year":"1999","journal-title":"Neurology"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib22","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1055\/s-0036-1595816","article-title":"Diaphragmatic dysfunction after thoracic operations","volume":"64","author":"Gaissert","year":"2016","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib23","first-page":"289","article-title":"Unilateral diaphragm paralysis: etiology, impact, and natural history","volume":"49","author":"Elefteriades","year":"2008","journal-title":"J\u00a0Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2018.08.071_bib24","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.1093\/ejcts\/ezu025","article-title":"Is sacrifying the phrenic nerve during thymoma resection worthwhile?","volume":"45","author":"Hamdi","year":"2014","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497518314814?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497518314814?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:59:27Z","timestamp":1757735967000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497518314814"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["S0003497518314814"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2018.08.071","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Nerve-Sparing Surgery in Advanced Stage Thymomas","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2018.08.071","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by The Society of Thoracic Surgeons Published by Elsevier","name":"copyright","label":"Copyright"}]}}