Video-assisted thoracic surgery thymectomy for myasthenia gravis.

Video-assisted thoracic surgery thymectomy was employed in the management of myasthenia gravis in a series of 20 patients. As the technique evolved, the authors preferred a right-sided approach, and the technical details of the process are discussed. At a mean follow-up of 30 months, clinical results are comparable to published series of other approaches. It is hoped that the superior cosmesis associated with this less-invasive approach leads to earlier thymectomy in management of this disease.