<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202019000100027</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.abril.27-31</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[TIMECTOMIA VIDEOTORACOSCOPICA PARA EL TRATAMIENTO DE LA MIASTENIA GRAVIS]]></article-title>
<article-title xml:lang="en"><![CDATA[VIDEOTHORACOSCOPIC THYMECTOMY FOR THE TREATMENT OF MYASTHENIA GRAVIS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arce-Aranda]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[Chong]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torrent]]></surname>
<given-names><![CDATA[Miguel Adé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leiva]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flor]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soskin Reidman]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aquino-Brizuela]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila]]></surname>
<given-names><![CDATA[Rocio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Jorge Instituto Nacional de Cardiología Departamento de Cirugía Torácica]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>27</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000100027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La Miastenia Gravis (MG) es una enfermedad neuromuscular autoinmune caracterizada por debilidad y fatiga muscular.La timectomía es una técnica quirúrgica que permite lograr un mejor control de los síntomas causados por esta patología. El objetivo del presente trabajo es mostrar la experiencia de este equipo quirúrgico con esta modalidad operatoria.  Materiales y Métodos: Estudio observacional, descriptivo, retrospectivo de corte transversal. Fueron incluidos todos los pacientes intervenidos quirúrgicamente por el mismo equipo quirúrgico en el periodo comprendido entre febrero de 2014 a febrero de 2019. Se describen características demográficas de la serie, resultados histopatológicos y morbimortalidad de la serie.  Resultados: 12 pacientes fueron intervenidos en dicho periodo de tiempo (7 mujeres), entre 21 y 65 años (promedio 35 años). Siete de los pacientes presentaron hiperplasia tímica y 3 casos con timo normal.  Conclusiones: Los pacientes sometidos a timectomía en la mayoría fueron jóvenes, con ligero predominio de mujeres. La mayoría han presentado hiperplasia tímica en el resultado anatomopatológico. La morbilidad postoperatoria fue mínima.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Myasthenia Gravis (MG) is an autoimmune neuromuscular disease characterized by muscle weakness and fatigue. The thymectomy is a surgical technique that allows to achieve a better control of the symptoms caused by this pathology. The objective of this work is to show the experience of this surgical team with this operative modality.  Materials and Methods:  Observational, descriptive, retrospective cross-sectional study. All patients surgically treated by the same surgical team were included in the period from February 2014 to February 2019. Demographic characteristics of the series, histopathological results and morbidity and mortality of the series are described.  Results:  12 patients were operated on during this period of time (7 women), between 21 and 65 years old (average 35 years). Seven of the patients presented thymic hyperplasia and 3 cases with a normal thymus.  Conclusions:  The patients undergoing thymectomy in the majority were young, with a slight predominance of women. Most have presented thymic hyperplasia in the anatomopathological result. Postoperative morbidity was minimal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Videotoracoscopía]]></kwd>
<kwd lng="es"><![CDATA[miastenia gravis]]></kwd>
<kwd lng="es"><![CDATA[timectomía]]></kwd>
<kwd lng="en"><![CDATA[myasthenia gravis]]></kwd>
<kwd lng="en"><![CDATA[thymectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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