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Methods We have analyzed results of surgical treatment of 87 patients having myasthenia gravis. There were 68 (79,2%) female, 19 (21,8%) male. Patients ranged in age from 15 to 64 years. 80 patients (91,9%) had generalized myasthenia, 7 patients (8,1%) had local forms of myasthenia. The most number of patients had IIb – Iva degree of myasthenia according to international clinical classification. All patients underwent extended thymectomy. At 75 patients we have performed thymectomy by median sternotomy, at 10 patients – by VATS. Dissection of mediastinal fat was a mandatory component of operation. The histologic pattern was: thymoma – at 43 patients (49,4%), thymic hyperplasia – at 42 patient (48,3%), thymic atrophy – at 2 patients (2,3%). Additional thymus corpuscles were revealed at 10 patients (11,5%).

Does only thymectomy influence on results of surgical treatment at patients with myasthenia gravis?