Abstract
Background Thymectomy was the standard method for the treatment of thymoma. Video-assisted thoracoscopic (VATS) thymectomy was developed more than 20 years ago and has become a widely accepted surgical approach. We consistently performed 3-port VATS simple thymectomy for thymoma. Our indications for VATS simple thymectomy are thymoma without myasthenia gravis (MG) less than 10 cm in the maximum diameter and positioned below jugular notch of the sternum. Extended surgical procedures are thymectomy with combined resection of internal thoracic artery and vein, lung, pericardium, phrenic nerve and diaphragm.
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