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3±31.5ml. Most patients (68.9%) were extubated in the operating room. The postoperative hospital stay was 9.8±5.9 days (5-37 days). 22.6% of patients relapsed after one-year. Refractory MG declined to 5.7% after surgical treatment. VATS thymectomy for MG with thymoma was safe and effective, with a lower rate of intraoperative complications, shorter hospitalization, and better long-term outcomes. This approach could be applicable for patients of all age groups with thymomas at early Masaoka's stages. VATS thymectomy for MG with thymoma w