Surgical treatment for XXXX .

@entity1 @entity704 @entity5 @entity229 @entity1737 @entity8491
A new surgical technique for thymectomy is presented. Three hundred and seventeen @entity1 with @entity1737 and 20 with @entity704 who had @entity8491 symptoms were operated on. The new surgical approach--a small transverse sternotomy--was used in 257 cases (in 240 @entity1 with @entity1737 and 17 with @entity704 ) and conventional median sternotomy in 80. In @entity8491 @entity1 small transverse sternotomy enabled radical thymectomy to be performed with an uneventful postoperative course and very good cosmetic results. There were no hospital deaths among @entity1 with @entity1737 after thymectomy. The long term results, assessed after 18-24 months, were good: the total remission rate was 39.5%, and there was a great improvement in 48.5% and an improvement in 9%. After thymectomy about 30% of @entity1 received supplementary treatment with @entity229 . A correlation between the duration of symptoms and the result of thymectomy was established: the shorter the duration of @entity1737 the better the results. In the small group of 20 @entity1 with @entity704 two died in hospital. In 12 @entity1 with encapsulated thymic @entity5 the long term results were similar to those in @entity1 with @entity1737 , whereas in @entity1 with infiltrating thymic @entity5 the results were unsatisfactory.
