Operative bleeding during thoracoscopic thymectomy: Causes and management strategies

Multimed Man Cardiothorac Surg. 2020 Jul 14:2020. doi: 10.1510/mmcts.2020.044.

Abstract

Bleeding during thoracoscopic thymectomy is a potentially critical complication that necessitates either immediate effective thoracoscopic control or conversion to an open approach. It can be difficult to manage and the surgeon must respond quickly in order to keep the patient safe . In this video tutorial we present various forms of intraoperative bleeding that can occur during thoracoscopic thymectomy and discuss how to manage them in patients with myasthenia gravis. Our management techniques include compression, clipping, stitching, and safe conversion to an open approach.

Publication types

  • Video-Audio Media

MeSH terms

  • Adult
  • Blood Loss, Surgical / prevention & control
  • Female
  • Hemostasis, Surgical* / instrumentation
  • Hemostasis, Surgical* / methods
  • Humans
  • Intraoperative Complications / surgery*
  • Male
  • Myasthenia Gravis / surgery
  • Thoracic Surgery, Video-Assisted / adverse effects*
  • Thoracic Surgery, Video-Assisted / methods
  • Thymectomy / adverse effects*
  • Thymectomy / methods
  • Thymus Gland / blood supply
  • Thymus Gland / surgery
  • Treatment Outcome