Chest Surgery pp 315-322 | Cite as

Transsternal Thymectomy

  • Joshua SonettEmail author
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


Thymectomy techniques and approaches in myasthenia gravis continue to evolve with various minimally invasive techniques. As with any surgical procedure that has undergone—or is undergoing—an evolution to minimally invasive approaches, it is essential that the surgical goals remain identical to best-proven practices. The gold standard of surgical maximal thymectomy by sternotomy must be well-understood and appreciated, and the dissection and surgical tenets of the procedure must be emulated without degradation of techniques as minimally invasive approaches are adapted.


Thymic Tissue Nondepolarizing Muscle Relaxant Sternotomy Incision Gland Caudally Recurrent Nerve Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Selected Bibliography

  1. Bulkley GB, Bass KN, Stephenson GR et al (1997) Extended cervicomediastinal thymectomy in the integrated management of myasthenia gravis. Ann Surg 226:324–335PubMedCentralPubMedCrossRefGoogle Scholar
  2. Jaretzki A 3rd, Wolff M (1988a) “Maximal” thymectomy for myasthenia gravis: results. J Thorac Cardiovasc Surg 95:747–757PubMedGoogle Scholar
  3. Jaretzki A 3rd, Wolff M (1988b) “Maximal” thymectomy for myasthenia gravis: surgical anatomy and operative technique. J Thorac Cardiovasc Surg 96:711–716PubMedGoogle Scholar
  4. Jaretzki A 3rd, Barohn RJ, Ernstoff RM et al (2000) Myasthenia gravis: recommendations for clinical research standards. Task Force of the Medical Scientific Advisory Board of the Myasthenia Gravis Foundation of America. Neurology 55:16–23PubMedCrossRefGoogle Scholar
  5. Masaoka A, Nagaoka Y, Kotake Y (1975) Distribution of thymic tissue at the anterior mediastinum: current procedures in thymectomy. J Thorac Cardiovasc Surg 70:747–754PubMedGoogle Scholar
  6. Masaoka A, Monden Y, Seike Y et al (1982) Reoperation after transcervical thymectomy for myasthenia gravis. Neurology 32:83–85PubMedCrossRefGoogle Scholar
  7. Masaoka A, Yamakawa Y, Niwa H et al (1996) Extended thymectomy for myasthenia gravis: a 20-year review. Am J Med 62:853–859Google Scholar
  8. Sonett JR, Jaretzki A 3rd (2008) Thymectomy for nonthymomatous myasthenia gravis: a critical analysis. Ann N Y Acad Sci 1132:315–328PubMedCrossRefGoogle Scholar
  9. Zieliński M, Kuzdzal J, Szlubowski A, Soja J (2004) Comparison of late results of basic transsternal and extended transsternal thymectomy in the treatment of myasthenia gravis. Ann Thorac Surg 78:253–258PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Thoracic SurgeryColumbia University Medical Center, New-York Presbyterian HospitalNew YorkUSA

Personalised recommendations