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nights; return to work 2-4 weeks."},{"name":"Robotic-assisted thymectomy","suits_whom":"Patients suited to VATS; useful for anterior mediastinal tumors","recovery":"Hospital 2-4 nights; return to work 2-4 weeks."},{"name":"Transsternal (median sternotomy) thymectomy","suits_whom":"Larger or invasive thymoma","recovery":"Hospital 4-7 nights; return to work 6-8 weeks."},{"name":"Transcervical thymectomy","suits_whom":"Selected myasthenia without thymoma","recovery":"Hospital 1-3 nights; return to work 2-3 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for minimally invasive approach."},"initial_assessment_documents":["Chest CT or MRI report and images","Neurology report on myasthenia gravis","Acetylcholine receptor antibody result","Current myasthenia medication list","Biopsy or pathology report (if available)","Recent pulmonary function test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until drain removal, chest check and flight clearance."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon discusses the risks and benefits of surgery with you","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"You should discuss the risks and benefits of surgery with your surgeon, especially if you are worried.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check which of the listed risks are specific to thymectomy, not only general surgery risks","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"There are some risks which are more specific to thymectomy.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you can get a second opinion before deciding on surgery","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"You are always welcome to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that another kind of treatment, instead of surgery, is open to you","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"It is your choice whether to go ahead with surgery or choose another kind of treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"If you have myasthenia gravis, check your symptoms are well controlled before surgery","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"If you have MG your symptoms must be well controlled before surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Confirm the surgeon discusses which thymectomy approach is most suitable for you","scope":"procedure","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/thoracic-surgery-information-patients-having-thymectomy-procedure","host":"uclh.nhs.uk","quote":"Your surgeon will outline the different options and advise you on the most suitable option for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon does not discuss the risks and benefits of surgery with you before booking","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"You should discuss the risks and benefits of surgery with your surgeon, especially if you are worried.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The offer presents surgery as the only choice, with no other treatment mentioned","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"It is your choice whether to go ahead with surgery or choose another kind of treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The clinic discourages you from seeking a second opinion","scope":"procedure","source":{"url":"https://www.uhb.nhs.uk/services/thoracic-surgery/other-operations/thymectomy/","host":"uhb.nhs.uk","quote":"You are always welcome to seek a second 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recovery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in 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