Resultados de la cirugía torácica mínimamente invasiva (vídeo-asistida) en el tratamiento de la Miastenia Gravis

Abstract

Results of minimally invasive thoracic surgery (video-assisted) in the treatment of Myasthenia Gravis Introduction: Myasthenia Gravis (MG) is the most common primary disorder of neuromuscular transmission. Treatment is multidisciplinary medical and surgical. Thymectomy is now part of standard treatment with clinical improvement in approximately 85% of cases. The best approach has not yet been defined. Objective: To evaluate the results of thymectomy for minimally invasive surgery (video-assisted) in patients with MG, with or without thymoma, analyzing the results in the literature to date. Material and Methods: We conducted a systematic review of literature in the PubMed database. Results: We found 66 publications related to the search, 20 studies were selected for review. We included those that evaluated the results of thymectomy in MG patients with or without thymoma. Discussion: Minimally invasive surgery (video-assisted) is a safe way, with low morbidity, shorter hospitalization, better cosmetic result and complete remission rates or improvement at least equivalent to conventional surgical approaches. These results should be evaluated with caution because there isn't enough evidence to ensure that minimally invasive surgery is the best approach.