General Thoracic and Cardiovascular Surgery

, Volume 63, Issue 4, pp 201–215 | Cite as

Perioperative management in myasthenia gravis: republication of a systematic review and a proposal by the guideline committee of the Japanese Association for Chest Surgery 2014

  • Yoshihisa Kadota
  • Hirotoshi Horio
  • Takeshi Mori
  • Noriyoshi Sawabata
  • Taichiro Goto
  • Shin-ichi Yamashita
  • Takeshi Nagayasu
  • Akinori Iwasaki
Current Topics Review Article


Thymectomy is regarded as a useful therapeutic option for myasthenia gravis (MG), though perioperative management in MG patients is largely empirical. While evidence-based medicine is limited in the perioperative management of MG patients, treatment guidelines are required as a benchmark. We selected issues faced by physicians in clinical practice in the perioperative management of extended thymectomy for MG, and examined them with a review of the literature. The present guidelines have reached the stage of consensus within the Japanese Association for Chest Surgery.


Myasthenia gravis Perioperative management Thymectomy Myastenic crisis Consensus statement 



The authors thank the former guidelines committees of Japanese Association for Chest Surgery: Drs. Hiroaki Nomori and Masazumi Watanabe for their contribution to this work.

Conflict of interest

The authors have declared that no Conflict of interest exists.


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Copyright information

© The Japanese Association for Thoracic Surgery 2015

Authors and Affiliations

  • Yoshihisa Kadota
    • 1
    • 2
  • Hirotoshi Horio
    • 1
    • 3
  • Takeshi Mori
    • 1
    • 4
  • Noriyoshi Sawabata
    • 1
    • 5
  • Taichiro Goto
    • 1
    • 6
  • Shin-ichi Yamashita
    • 1
    • 7
  • Takeshi Nagayasu
    • 1
    • 8
  • Akinori Iwasaki
    • 1
    • 7
  1. 1.Guidelines Committees of Japanese Association for Chest SurgeryKyotoJapan
  2. 2.Department of General Thoracic SurgeryOsaka Prefectural Medical Center for Respiratory and Allergic DiseasesOsakaJapan
  3. 3.Department of General Thoracic SurgeryTokyo Metropolitan Cancer and Infectious diseases Center Komagome HospitalTokyoJapan
  4. 4.Department of Thoracic SurgeryKumamoto University HospitalKumamotoJapan
  5. 5.Department of General Thoracic SurgeryOsaka University Graduate School of MedicineOsakaJapan
  6. 6.Department of General Thoracic SurgeryKeio University School of MedicineTokyoJapan
  7. 7.Department of General Thoracic, Breast and Pediatric SurgeryFukuoka University School of MedicineFukuokaJapan
  8. 8.Department of Surgical oncologyNagasaki University Graduate School of Biomedical SciencesNagasakiJapan

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