{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T08:27:11Z","timestamp":1787819231148,"version":"build-2784847793"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,6,28]],"date-time":"2016-06-28T00:00:00Z","timestamp":1467072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstracts<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The purpose of this study was to compare thymectomy by video\u2010assisted thoracoscopic surgery (VATS) and trans\u2010sternal thymectomy (TS) for myasthenia gravis patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A meta\u2010analysis was conducted to compare thoracoscopic surgery and sternotomy for myasthenia gravis patients with regard to long\u2010term effect and short\u2010term safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 23 trials were included in our research. No significant differences were detected with regard to myasthenic crisis, wound infection, and muscle weakness improvement. VATS led to less blood loss than TS (standardized mean difference, \u22121.233; 95% confidence interval, \u22121.425\u2013\u22121.041;<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), less risk of pulmonary infection (relative risk, 1.035; 95% confidence interval, 1.001\u20131.070;<jats:italic>P<\/jats:italic>\u2009=\u20090.043), and a shorter hospital stay. TS had a shorter operative time than VATS (standardized mean difference, 0.239; 95% confidence interval, 0.113\u20130.365;<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). VATS and TS achieved similar mean specimen weights and complete stable remission rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Based on the results of this meta\u2010analysis of retrospective cohort studies, VATS increases surgical safety and achieves an equal surgical efficacy to TS, but TS has a shorter operative time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12300","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T03:42:19Z","timestamp":1467171739000},"page":"285-294","source":"Crossref","is-referenced-by-count":15,"title":["Sternotomy versus video\u2010assisted thoracoscopic surgery for thymectomy of myasthenia gravis patients: A meta\u2010analysis"],"prefix":"10.1111","volume":"9","author":[{"given":"Yingtsai","family":"Gung","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery West China Hospital of Sichuan University Chengdu 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