Comparison of Early Postoperative Results of Robotic and Transsternal Thymectomies

Ancın, Burcu; Ozercan, Mesut Melih; Uysal, Serkan; Kumbasar, Ulaş; Di̇kmen, Erkan; Yılmaz, Mustafa; Demircin, Metin; Doğan, Rıza

doi:10.5152/turkthoracj.2019.40

Turk Thorac J

2019

DOI: 10.5152/turkthoracj.2019.40

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Comparison of Early Postoperative Results of Robotic and Transsternal Thymectomies

Burcu Ancın¹,

Mesut Melih Ozercan²,

Serkan Uysal³

et al.

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2023

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Robot-assisted thoracoscopic surgery vs. sternotomy for thymectomy: A systematic review and meta-analysis

Wang

Liu

et al. 2023

Front. Surg.

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IntroductionSurgeons have widely regarded sternotomy (ST) as the standard surgical method for thymectomy. Minimally invasive methods for thymectomy, including video-assisted and robot-assisted thoracoscopic surgery (RATS), have been explored. There are some studies have researched and compared the outcomes of patients after robotic and sternotomy procedure.MethodsWe searched the databases of Pubmed, the Cochrane Library, Embase and selected the studies on the efficacy and safety of RATS or ST for thymectomy. Meta-analysis was performed for operation time, operation blood loss, postoperative drainage time, operative complications and hospitalization time.ResultsA total of 16 cohort studies with 1,089 patients were included. Compared to ST, RATS is an appropriate alternative for thymectomy which reduced operation blood loss [standardized mean difference (SMD) = −1.82, 95% confidence interval (95% CI): (−2.64, −0.99), p = 0.000], postoperative drainage time [SMD = −2.47, 95% Cl: (−3.45, −1.48), p = 0.000], operative complications [odds ratio (OR) = 0.31, 95% Cl: (0.18, 0.51), p = 0.000] and hospitalization time [SMD = −1.62, 95% Cl: (−2.16, −1.07), p = 0.000].ConclusionsThis meta-analysis based on cohort studies shows that RATS has more advantages over ST. Therefore, RATS is a more advanced and suitable surgical method for thymectomy.

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Robot-assisted thoracoscopic surgery vs. sternotomy for thymectomy: A systematic review and meta-analysis

Wang

Liu

et al. 2023

Front. Surg.

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Comparison of Early Postoperative Results of Robotic and Transsternal Thymectomies

Cited by 1 publication

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Robot-assisted thoracoscopic surgery vs. sternotomy for thymectomy: A systematic review and meta-analysis

Robot-assisted thoracoscopic surgery vs. sternotomy for thymectomy: A systematic review and meta-analysis

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