Please use this identifier to cite or link to this item:
https://doi.org/10.1016/j.hlc.2021.08.003
DC Field | Value | |
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dc.title | Partial Versus Complete Thymectomy in Non-Myasthenic Patients With Thymoma A Systematic Review and Meta-Analysis of Clinical Outcomes | |
dc.contributor.author | Papadimas, Evangelos | |
dc.contributor.author | Tan, Ying Kiat | |
dc.contributor.author | Luo, HaiDong | |
dc.contributor.author | Choong, Andrew MTL | |
dc.contributor.author | Tam, John KC | |
dc.contributor.author | Kofidis, Theo | |
dc.contributor.author | Mithiran, Harish | |
dc.date.accessioned | 2022-11-21T03:44:07Z | |
dc.date.available | 2022-11-21T03:44:07Z | |
dc.date.issued | 2021-12-06 | |
dc.identifier.citation | Papadimas, Evangelos, Tan, Ying Kiat, Luo, HaiDong, Choong, Andrew MTL, Tam, John KC, Kofidis, Theo, Mithiran, Harish (2021-12-06). Partial Versus Complete Thymectomy in Non-Myasthenic Patients With Thymoma A Systematic Review and Meta-Analysis of Clinical Outcomes. HEART LUNG AND CIRCULATION 31 (1) : 59-68. ScholarBank@NUS Repository. https://doi.org/10.1016/j.hlc.2021.08.003 | |
dc.identifier.issn | 1443-9506 | |
dc.identifier.issn | 1444-2892 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/234725 | |
dc.description.abstract | Objective: The optimal extent of surgical resection for non-myasthenic patients with thymoma is controversial. The objective of this meta-analysis was to compare complete to partial thymectomy in non-myasthenic patients for oncological and postoperative clinical outcomes. Methods: We performed a PubMed and EMBASE search (from inception to January 2020) for English-language studies directly comparing partial thymectomy (thymomectomy) to complete thymectomy for thymoma resection. Clinical endpoints studied included overall and disease-free survival, Masaoka and World Health Organization staging, adjuvant therapy, postoperative complications, postoperative drainage, length of hospital stay, thymoma-related deaths, postresection development of myasthenia gravis, incomplete resection, and recurrence. Random effects meta-analyses across all clinical endpoints was done. Results: There was no statistically significant difference between the two approaches with regard to recurrence (odds ratio [OR], 1.22; 95% confidence interval [CI], 0.78–1.92), completeness of resection (OR, 1.17; 95% CI, 0.66–2.10), adjuvant therapy (OR, 0.71; 95% CI, 0.40–1.26), or thymoma-related deaths (OR, 0.76; 95% CI, 0.12–4.66). There was a statistically significant decrease in postoperative complications (OR, 0.61; 95% CI, 0.39–0.97), drainage (mean difference [MD], –0.99; 95% CI, –1.98 to –0.01), and length of hospital length (MD, –1.88; 95% CI, –3.39 to –0.36) with partial thymectomy. Conclusions: The evidence appeared to suggest that partial thymectomy is oncologically equivalent to complete thymectomy for non-myasthenic patients with early-stage thymoma. There is an additional advantage of reduced postoperative complications and decreased length of hospital stay with partial thymectomy. | |
dc.language.iso | en | |
dc.publisher | ELSEVIER SCIENCE INC | |
dc.source | Elements | |
dc.subject | Science & Technology | |
dc.subject | Life Sciences & Biomedicine | |
dc.subject | Cardiac & Cardiovascular Systems | |
dc.subject | Cardiovascular System & Cardiology | |
dc.subject | Thymoma | |
dc.subject | Thymectomy | |
dc.subject | Myasthenia gravis | |
dc.subject | Thymomectomy | |
dc.subject | LIMITED THYMECTOMY | |
dc.subject | COMPLETE RESECTION | |
dc.subject | PROGNOSTIC-FACTORS | |
dc.subject | SURGICAL-TREATMENT | |
dc.subject | STAGE-I | |
dc.subject | TUMORS | |
dc.subject | THYMOMECTOMY | |
dc.subject | DATABASE | |
dc.subject | THERAPY | |
dc.subject | OPTION | |
dc.type | Review | |
dc.date.updated | 2022-11-18T15:34:06Z | |
dc.contributor.department | DEPARTMENT OF COMPUTER SCIENCE | |
dc.contributor.department | SURGERY | |
dc.description.doi | 10.1016/j.hlc.2021.08.003 | |
dc.description.sourcetitle | HEART LUNG AND CIRCULATION | |
dc.description.volume | 31 | |
dc.description.issue | 1 | |
dc.description.page | 59-68 | |
dc.published.state | Published | |
Appears in Collections: | Staff Publications Elements |
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Files in This Item:
File | Description | Size | Format | Access Settings | Version | |
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Partial Versus Complete_JT.pdf | Accepted version | 2.45 MB | Adobe PDF | CLOSED | None |
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