{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:58:11Z","timestamp":1781179091186,"version":"3.54.1"},"reference-count":42,"publisher":"Scientific Scholar","issue":"03","license":[{"start":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T00:00:00Z","timestamp":1647907200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["South Asian J Cancer"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>Background\u2003There are different surgical techniques used for maximal thymectomy. Each technique has its own advantages and disadvantages. We propose a mini sternotomy with pleural preservation approach for complete maximal thymectomy.<\/jats:p>\n                  <jats:p>Methods\u2003Over time range of 5 years, 32 patients with diagnosis of thymoma with or without myasthenia gravis (MG) underwent maximal thymectomy by mini sternotomy in our institute. Patient records were examined for the following parameters: age, sex, preoperative medication, symptoms of MG as per Myasthenia Gravis Foundation of America grading system, operating time, duration of postoperative ventilation, length of stay in the intensive care unit, overall length of hospitalization, and postoperative complications.<\/jats:p>\n                  <jats:p>Results\u2003The mean age of patients in our study was 43.66. Sex ratio in this study was almost equal. Sixty-nine percent of patients were stage I thymoma according to Masaoka staging. Size of the tumor ranged from 3 to 8\u2009cm with mean size being 4.54\u2009cm. Complete resection with negative tumor margins was possible in all the cases. Four patients had intraoperative pleural injury out of which two patients required intercostal tube insertion. We did not have any serious postoperative complications with no perioperative mortality.<\/jats:p>\n                  <jats:p>Conclusions\u2003Mini sternotomy allows maximal removal of thymus through a less invasive approach and is associated with a significantly smoother postoperative course, less overall complications, and good clinical outcome. It is a simple technique that can be performed by any thoracic and surgical oncologists especially in Indian subcontinent where facilities of video-assisted thoracoscopic surgery and robotic video-assisted thoracoscopic surgery are not available in all areas and are expensive.<\/jats:p>","DOI":"10.1055\/s-0042-1743162","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T20:05:09Z","timestamp":1647979509000},"page":"229-234","source":"Crossref","is-referenced-by-count":1,"title":["Maximal Thymectomy via Mini Sternotomy with Pleural Preservation"],"prefix":"10.25259","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8642-0473","authenticated-orcid":false,"given":"Gaurav","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Bombay Hospital and Medical Research Centre, Marine Lines, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bojja V. Kishore","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Bombay Hospital and Medical Research Centre, Marine Lines, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakash","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Bombay Hospital and Medical Research Centre, Marine Lines, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,3,22]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1860","DOI":"10.1016\/j.athoracsur.2003.10.001","article-title":"Thymic tumors","volume":"77","author":"F C Detterbeck","year":"2004","journal-title":"Ann Thorac Surg"},{"issue":"07","key":"ref2","first-page":"1001","article-title":"Natural history and treatment of malignant thymoma","volume":"12","author":"D Cowen","year":"1998","journal-title":"Oncology (Williston Park)"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1093\/ejcts\/ezu352","article-title":"Robotic thymectomy in patients with myasthenia gravis: neurological and surgical outcomes","volume":"48","author":"M Keijzers","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1007\/s11748-014-0420-z","article-title":"Therapy for thymic epithelial tumors","volume":"62","author":"K Kondo","year":"2014","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/imi.0b013e3182165cdb","article-title":"VATS thymectomy for nonthymomatous myasthenia gravis: standardized outcome assessment using the myasthenia gravis foundation of America clinical classification","volume":"6","author":"C P Keating","year":"2011","journal-title":"Innovations (Phila)"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S1698","DOI":"10.1097\/JTO.0b013e31821e7b12","article-title":"A review of prognostic factors in thymic malignancies","volume":"6","author":"F Detterbeck","year":"2011","journal-title":"J Thorac Oncol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1097\/00000658-193910000-00005","article-title":"Myasthenia gravis and tumors of the thymic region: report of a case in which the tumor was removed","volume":"110","author":"A Blalock","year":"1939","journal-title":"Ann Surg"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/S0003-4975(96)00376-1","article-title":"Extended thymectomy for myasthenia gravis patients: a 20-year review","volume":"62","author":"A Masaoka","year":"1996","journal-title":"Ann Thorac Surg"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/S0022-5223(19)35684-3","article-title":"\u201cMaximal\u201d thymectomy for myasthenia gravis. 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\u015eehitogullari","year":"2020","journal-title":"Asian J Surg"},{"issue":"02","key":"ref39","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1510\/icvts.2010.254599","article-title":"Does a relationship exist between the number of thoracoscopic thymectomies performed and the learning curve for thoracoscopic resection of thymoma in patients with myasthenia gravis?","volume":"12","author":"A Toker","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"05","key":"ref40","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1016\/j.jtcvs.2008.09.033","article-title":"Management of pleural recurrence after curative resection of thymoma","volume":"137","author":"M Lucchi","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"03","key":"ref41","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1055\/s-0034-1396594","article-title":"Long-term outcome for early stage thymoma: comparison between thoracoscopic and open 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Cancer"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1743162.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:12:32Z","timestamp":1781176352000},"score":1,"resource":{"primary":{"URL":"https:\/\/journal.sajc.org\/maximal-thymectomy-via-mini-sternotomy-with-pleural-preservation\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,22]]},"references-count":42,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,12,30]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1743162","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2278-330X","2278-4306"],"issn-type":[{"value":"2278-330X","type":"print"},{"value":"2278-4306","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,22]]}}}