1 81To cite this article: Kumbasar U, Yılmaz Y, Özercan MM, Ancın B, Dikmen E, Doğan R. The effect of fibrin sealant spraying on prolonged air leak after pulmonary resections: a single center experience. Curr Thorac Surg 2017;2(3): 81-84. ABSTRACT Background:The aim of this study is to evaluate the effects of fibrin sealant spraying on postoperative air

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Plasmacytomas are localized proliferations of plasma cells in bone marrow. Extraosseous tissue involvement is uncommon. Herein, we report a case of mediastinal extramedullary plasmacytoma in a 54-year-old woman. A 85 mm lesion was reported in computed chest tomography of the patient who referred to ourvhospital with dyspnea. Since interventional radiologists did not think the patient was suitable for percutaneous biopsy, a surgical biopsy was performed and the pathology reported a plasmacytoma. Various investigations were done to rule out multiple myeloma. Since no result in favor of multiple myeloma was obtained, mass was diagnosed as extramedullary plasmacytoma. Radiotherapy was scheduled for the patient.

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Objective: Robot-assisted thoracoscopic surgery (RATS) is a minimally invasive technique that has been used in thymectomy operations in recent years. Minimally invasive surgical techniques offer less postoperative pain, a shorter length of hospital stay, and faster recovery compared to conventional surgical techniques. In our study, we aimed to compare the outcomes of robotic and transsternal thymectomies by analyzing the operative and postoperative data of these two approaches. Methods: Twelve robotic thymectomy patients and 16 transsternal thymectomy patients who were operated on in our clinic in 2018 were included in the study. Results: There was no significant difference between the two groups in terms of operative time (p=0.231). The median chest tube duration was 1.5 [range, 1-2] days in robotic thymectomy and 2.5 [range, 1-3.75] days in transsternal thymectomy. However, there was no statistically significant difference between the two groups (p=0.082). The amount of chest tube drainage was significantly lower in the robotic thymectomy group (p=0.006). The length of hospital stay was also significantly shorter in robotic thymectomy patients (p<0.001). Conclusion: The amount of chest tube drainage was lower and the length of hospital stay was shorter in the robotic surgery compared to the transsternal approach. There was no significant difference between the two techniques in terms of operative time. Within today's minimally invasive surgical techniques, robotic thymectomy can be considered a practical, comfortable, and safe technique with better early postoperative outcomes. Keywords: Robot-Assisted Thymectomy, Thymectomy, Transsternal Thymectomy