[QUOTE=Panorama;1060687]The MG Manual states a reason for the more invasive approach:

Surgical approaches will differ among surgeons. For many, the preferred surgical approach is transthoracic; the sternum is split, which allows wide exploration of the anterior mediastinum. Transcervical and endoscopic approaches have less postoperative morbidity but do not allow sufficient exposure for total thymic removal and are not recommended when there is a thymoma.

Myasthenia Gravis: A Manual for the Health Care Provider (PDF) - page 18

It looks like if the surgeon needs to ensure through removal, the more invasive approach is indicated.

-Mark-[/QUOTE

Hi all,
So I saw my surgeon today! Very nice man he was too! Basically he's going for the most invasive approach to ensure the tumour comes out nice and clean! I will see him again 4 weeks after giving birth to start the ball rolling and see how my condition is then.
Next I will meet my anaesthetist to talk that through more thoroughly as the operation is very routine according to my surgeon he takes the thymus gland out everytime he does heart surgery opening the sternum so he's very confident in performing the op itself.
Thank you all for your comments and input it's really appreciated xx