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Title
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Thymectomy for thymoma and myasthenia gravis : a survey of current surgical practice in thymic disease amongst EACTS members
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Author
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Institution/Organisation
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EACTS Thymic Working Group
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Abstract
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| Thymic disorders, both oncological and non-oncological, are rare. Multi-institutional, randomized studies are currently not available. The Thymic Working Group of the European Association for Cardio-thoracic Surgery (EACTS) decided to perform a survey aiming to estimate the extent and type of current surgical practice in thymic diseases. A questionnaire was addressed to the thoracic and cardio-thoracic members of the society, and the answers received from 114 participants were analysed. High-volume surgeons cooperate more frequently with a dedicated neurologist and anaesthesist (P = 0.04), determine more frequently neurological scores pre- and postoperatively (P = 0.02) and do not operate on thymic hyperplasia in stage I myasthenia gravis (MG) (P = 0.04). High-volume thymoma surgeons more often use a transpleural approach for stage I thymoma < 4 cm (P = 0.01), induction therapy (P = 0.05) and are more likely to have access to a tissue bank (P = 0.04). Both in thymoma and MG surgery, cooperative prospective studies seem to be feasible in dedicated thoracic surgical associations as EACTS. |
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Language
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English
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Source (journal)
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Interactive cardiovascular and thoracic surgery. - Amsterdam
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Publication
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Amsterdam
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2012
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ISSN
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1569-9293
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DOI
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10.1093/ICVTS/IVS046
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Volume/pages
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14
:6
(2012)
, p. 765-770
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ISI
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000310175300026
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Full text (Publisher's DOI)
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Full text (open access)
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