{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:46:32Z","timestamp":1792125992225,"version":"4.4.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":91,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"DOI":"10.1186\/s13019-026-04633-5","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:25:53Z","timestamp":1784294753000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving outcomes in myasthenia gravis: uni-portal video-assisted thoracoscopic (UVATS) thymectomy in a single-centre retrospective cohort"],"prefix":"10.1186","volume":"21","author":[{"given":"A.","family":"Rahim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Samsudin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Menon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. X.","family":"Hoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Jayaselan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Y.","family":"Ooi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z. S.","family":"Nicolas Ong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. D.","family":"Sudarshan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Krishnasamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"4633_CR1","volume-title":"StatPearls. Treasure Island","author":"A Beloor Suresh","year":"2024","unstructured":"Beloor Suresh A, Asuncion RMD. Myasthenia Gravis. StatPearls. Treasure Island. (FL): StatPearls Publishing; 2024."},{"key":"4633_CR2","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1146\/annurev-physiol-022516-034255","volume":"80","author":"L Li","year":"2018","unstructured":"Li L, Xiong WC, Mei L. Neuromuscular Junction Formation, Aging, and Disorders. Annu Rev Physiol. 2018;80:159\u201388.","journal-title":"Annu Rev Physiol"},{"issue":"2","key":"4633_CR3","first-page":"e34828","volume":"15","author":"M Itani","year":"2023","unstructured":"Itani M, Goldman Gollan Y, Ezell K, et al. Thymoma and Myasthenia Gravis: An Examination of a Paraneoplastic Manifestation. Cureus. 2023;15(2):e34828.","journal-title":"Cureus"},{"issue":"5\u20136","key":"4633_CR4","doi-asserted-by":"publisher","first-page":"413","DOI":"10.3109\/08916930903555935","volume":"43","author":"A Marx","year":"2010","unstructured":"Marx A, Willcox N, Leite MI, et al. Thymoma and paraneoplastic myasthenia gravis. Autoimmunity. 2010;43(5\u20136):413\u201327.","journal-title":"Autoimmunity"},{"issue":"15","key":"4633_CR5","first-page":"1515","volume":"325","author":"JF Howard Jr","year":"2021","unstructured":"Howard JF Jr. Myasthenia gravis: a clinical review. JAMA. 2021;325(15):1515\u201326.","journal-title":"JAMA"},{"key":"4633_CR6","first-page":"874680","volume":"2012","author":"A Jayam Trouth","year":"2012","unstructured":"Jayam Trouth A, Dabi A, Solieman N, et al. Myasthenia gravis: a review. Autoimmune Dis. 2012;2012:874680.","journal-title":"Autoimmune Dis"},{"issue":"4","key":"4633_CR7","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1136\/jnnp.2006.100545","volume":"78","author":"X Zhang","year":"2007","unstructured":"Zhang X, Yang M, Xu J, et al. Clinical and serological study of myasthenia gravis in HuBei Province, China. J Neurol Neurosurg Psychiatry. 2007;78(4):386\u201390.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"6","key":"4633_CR8","first-page":"497","volume":"38","author":"KE Osserman","year":"1971","unstructured":"Osserman KE, Genkins G. Studies in myasthenia gravis: review of a twenty-year experience in over 1200 patients. Mt Sinai J Med. 1971;38(6):497\u2013537.","journal-title":"Mt Sinai J Med"},{"issue":"6","key":"4633_CR9","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1056\/NEJMoa1602489","volume":"375","author":"GI Wolfe","year":"2016","unstructured":"Wolfe GI, Kaminski HJ, Aban IB, et al. Randomized trial of thymectomy in myasthenia gravis. N Engl J Med. 2016;375(6):511\u201322.","journal-title":"N Engl J Med"},{"issue":"1","key":"4633_CR10","first-page":"33","volume":"5","author":"A Raza","year":"2016","unstructured":"Raza A, Woo E. Video-assisted thoracoscopic surgery versus sternotomy in thymectomy for thymoma and myasthenia gravis. Ann Cardiothorac Surg. 2016;5(1):33\u20137.","journal-title":"Ann Cardiothorac Surg"},{"issue":"4","key":"4633_CR11","first-page":"1068","volume":"45","author":"JC R\u00fcckert","year":"2021","unstructured":"R\u00fcckert JC, Ismail M, Swierzy M, et al. Thoracoscopic thymectomy: a review of 300 consecutive cases. World J Surg. 2021;45(4):1068\u201376.","journal-title":"World J Surg"},{"issue":"2","key":"4633_CR12","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1093\/ejcts\/ezt476","volume":"45","author":"Z Gu","year":"2014","unstructured":"Gu Z, Wei Y, Yang Y, et al. Single-incision versus three-incision video-assisted thoracoscopic thymectomy in myasthenia gravis: a comparative study. Eur J Cardiothorac Surg. 2014;45(2):225\u201330.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"12","key":"4633_CR13","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","volume":"12","author":"E von Elm","year":"2014","unstructured":"von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495\u20139.","journal-title":"Int J Surg"},{"key":"4633_CR14","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1186\/s13019-024-02983-6","volume":"19","author":"M Lashkarizadeh","year":"2024","unstructured":"Lashkarizadeh M, Haghollahi V, Zeinali Nezhad N, et al. Descriptive analysis of therapeutic outcomes between thoracoscopic and transsternal thymectomy in myasthenia gravis patients from 2011 to 2021. J Cardiothorac Surg. 2024;19:489.","journal-title":"J Cardiothorac Surg"},{"issue":"6","key":"4633_CR15","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1016\/j.asjsur.2020.12.013","volume":"44","author":"A Al-Bulushi","year":"2021","unstructured":"Al-Bulushi A, Salmi IA, Rahbi FA, et al. The role of thymectomy in myasthenia gravis: A programmatic approach to thymectomy and perioperative management of myasthenia gravis. Asian J Surg. 2021;44(6):819\u201328.","journal-title":"Asian J Surg"},{"issue":"Suppl 14","key":"4633_CR16","first-page":"S1342","volume":"9","author":"K Kimura","year":"2017","unstructured":"Kimura K, Kanzaki R, Shiono H, et al. Surgical and oncological outcomes of thoracoscopic thymectomy for thymoma. J Thorac Dis. 2017;9(Suppl 14):S1342\u20137.","journal-title":"J Thorac Dis"},{"issue":"3","key":"4633_CR17","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1016\/j.jtcvs.2010.09.003","volume":"141","author":"A Pennathur","year":"2011","unstructured":"Pennathur A, Qureshi I, Schuchert MJ, et al. Comparison of surgical techniques for early-stage thymoma: feasibility of minimally invasive thymectomy and comparison with open resection. J Thorac Cardiovasc Surg. 2011;141(3):694\u2013701.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"4633_CR18","doi-asserted-by":"publisher","first-page":"1185","DOI":"10.1016\/j.jtcvs.2008.09.033","volume":"137","author":"M Lucchi","year":"2009","unstructured":"Lucchi M, Davini F, Ricciardi R, et al. Management of pleural recurrence after curative resection of thymoma. J Thorac Cardiovasc Surg. 2009;137(5):1185\u20139.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"4633_CR19","first-page":"1931","volume":"11","author":"AC Brown","year":"2019","unstructured":"Brown AC, Gu L, Yoo E. Comparative analysis of transsternal versus minimally invasive thymectomy outcomes in myasthenia gravis patients. J Thorac Dis. 2019;11(5):1931\u201340.","journal-title":"J Thorac Dis"},{"key":"4633_CR20","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1186\/s13019-024-02983-6","volume":"19","author":"M Lashkarizadeh","year":"2024","unstructured":"Lashkarizadeh M, Haghollahi V, Zeinali Nezhad N, et al. Descriptive analysis of therapeutic outcomes between thoracoscopic and transsternal thymectomy in myasthenia gravis patients from 2011 to 2021. J Cardiothorac Surg. 2024;19:489.","journal-title":"J Cardiothorac Surg"},{"issue":"10","key":"4633_CR21","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1016\/j.jtho.2021.06.031","volume":"16","author":"AG Nicholson","year":"2021","unstructured":"Nicholson AG, Detterbeck F, Wistuba II, et al. Thymoma and thymic carcinoma. J Thorac Oncol. 2021;16(10):1628\u201346.","journal-title":"J Thorac Oncol"},{"issue":"3","key":"4633_CR22","doi-asserted-by":"publisher","first-page":"161","DOI":"10.3988\/jcn.2012.8.3.161","volume":"8","author":"ZF Mao","year":"2012","unstructured":"Mao ZF, Mo XA, Qin C, et al. Incidence of thymoma in myasthenia gravis: a systematic review. J Clin Neurol. 2012;8(3):161\u20139.","journal-title":"J Clin Neurol"},{"issue":"4","key":"4633_CR23","first-page":"1021","volume":"115","author":"JC R\u00fcckert","year":"2023","unstructured":"R\u00fcckert JC, Swierzy M, Ismail M. Comparison of robotic and thoracoscopic thymectomy for thymoma. Ann Thorac Surg. 2023;115(4):1021\u20138.","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"4633_CR24","first-page":"ezac554","volume":"63","author":"A Raza","year":"2023","unstructured":"Raza A, Woo E. Meta-analysis of robotic versus video-assisted thoracoscopic thymectomy. Eur J Cardiothorac Surg. 2023;63(2):ezac554.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"12","key":"4633_CR25","doi-asserted-by":"crossref","first-page":"558","DOI":"10.3390\/jcm7120558","volume":"7","author":"A Bodrogi","year":"2018","unstructured":"Bodrogi A, Stanghel A. Outcomes and complications of video-assisted thoracoscopic surgery thymectomy for myasthenia gravis: a review. J Clin Med. 2018;7(12):558.","journal-title":"J Clin Med"},{"issue":"5","key":"4633_CR26","doi-asserted-by":"crossref","first-page":"1671","DOI":"10.1016\/j.athoracsur.2012.05.132","volume":"94","author":"RJ Cerfolio","year":"2012","unstructured":"Cerfolio RJ, Bryant AS, Minnich DJ. Results of robotic thymectomy for myasthenia gravis: a single-center study. Ann Thorac Surg. 2012;94(5):1671\u20136.","journal-title":"Ann Thorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-026-04633-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-04633-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-04633-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:10:14Z","timestamp":1792123814000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-026-04633-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,17]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4633"],"URL":"https:\/\/doi.org\/10.1186\/s13019-026-04633-5","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,17]]},"assertion":[{"value":"17 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval was obtained from the University of Malaya Medical Centre - Medical Research Ethics Committee. (MREC ID No: 2023125-11234). Written informed consent was waived due to the retrospective design; verbal consent was obtained for telephone follow-up.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"799"}}