Introduction

The beneficial effects of thymectomy in myasthenia gravis (MG) are generally recognized by most neurologists and thoracic surgeons although no prospective, randomized study has been performed to compare the results of operative and conservative treatments for the disease. The choice of the technique of thymectomy is still a matter of debate. There are several methods of thymectomy performed through the trans-sternal, trans-cervical, videothoracoscopic (VTS) and subxiphoid approaches. [1],[2],[3],[4],[5],[6],[7],[8],[9],[10] In this report, we present the technique of transcervical-subxiphoid-VTS "maximal"thymectomy developed by the authors of this study. [11]

Patient Selection

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