Evidence map›Paper›PMID 41113248›Full record

ArticleJournal of surgical case reports2025

Robot-assisted extended thymectomy in juvenile myasthenia gravis: first case performed in Ecuador.

Enrique Gagliardo, Luis Aguaguiña Toainga, Janneth Alejandra Pérez Cedeño, Luis Alberto Barrera Delgado, Luis Munoz Andrade

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Enrique GagliardoNational Oncology Institute SOLCA Guayaquil, Department of Thoracic Surgery, Guayaquil, Guayas 090505, Ecuador.ORCID https://orcid.org/0000-0003-1134-4784
Luis Aguaguiña ToaingaHospital General Monte Sinaí, Guayaquil, Ecuador.ORCID https://orcid.org/0000-0002-1531-020X
Janneth Alejandra Pérez CedeñoNational Oncology Institute SOLCA Guayaquil, Department of Thoracic Surgery, Guayaquil, Guayas 090505, Ecuador.ORCID https://orcid.org/0000-0002-6436-5135
Luis Alberto Barrera DelgadoNational Oncology Institute SOLCA Guayaquil, Department of Thoracic Surgery, Guayaquil, Guayas 090505, Ecuador.ORCID https://orcid.org/0009-0003-2310-7126
Luis Munoz AndradeNational Oncology Institute SOLCA Guayaquil, Department of Thoracic Surgery, Guayaquil, Guayas 090505, Ecuador.ORCID https://orcid.org/0000-0002-9682-5896

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myasthenia gravis (MG) is a chronic autoimmune disorder characterized by fatigable muscle weakness, typically caused by antibodies against acetylcholine receptors (AChR) or muscle-specific kinas. While it primarily affects adults, juvenile cases represent a significant minority and often pose greater therapeutic challenges. Extended thymectomy has proven beneficial in AChR-positive MG, reducing symptoms and immunosuppressive needs. Robotic-assisted thymectomy offers enhanced precision with lower morbidity. We report the first such procedure in Ecuador, performed on a 21-year-old woman with recurrent myasthenic crises. The surgery was uneventful, and follow-up showed marked clinical improvement without recurrence, highlighting the feasibility of advanced techniques in low-resource settings.

Indexed as

autoimmune neuromuscular disorderDa Vinci systemEcuadorjuvenile MGmyasthenia gravisrobotic thymectomy

Identifiers

PMID41113248
PMCPMC12535260

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.