• Interact Cardiovasc Thorac Surg · Jun 2012

    Thymectomy for thymoma and myasthenia gravis. A survey of current surgical practice in thymic disease amongst EACTS members.

    • Marco Lucchi, Paul Van Schil, Ralph Schmid, Federico Rea, Franca Melfi, Kalliopi Athanassiadi, Marcin Zielinski, Tom Treasure, and EACTS Thymic Working Group.
    • Division of Thoracic Surgery, University of Pisa, Pisa, Italy. m.lucchi@med.unipi.it
    • Interact Cardiovasc Thorac Surg. 2012 Jun 1; 14 (6): 765-70.

    AbstractThymic 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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