Reversed-T upper mini-sternotomy for extended thymectomy in myasthenic patients

A minimally invasive approach for extended thymectomy in myasthenic patient s is described. Through an 8- to 10-cm midline skin incision with a reverse d-T upper mini-sternotomy, an extended thymectomy was performed. The medias tinal fat was removed beginning from the diaphragm up to the thyroid gland, and to each phrenic nerve, laterally. Extended thymectomy through a revers ed-T upper mini-sternotomy warrants complete excision of thymic tissue whil e allowing a short hospitalization and good cosmetic result. (C) 2000 by Th e Society of Thoracic Surgeons.