Robotic-assisted minimally invasive thymectomy for myasthenia gravis with thymoma

Su, Katherine W.; Luketich, James D.; Sarkaria, Inderpal S.

doi:10.1016/j.xjtc.2022.02.036

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…Robot-assisted surgical systems provide surgeons with 3D-magnified imaging, increased precision and instrument motion dexterity. Due to the potential great advantages, particularly in patients with large thymic epithelial tumors who require more precise dissection in a narrow anterior mediastinal space, robot–assisted thoracoscopic surgery (RATS) thymectomy has gradually emerged as an alternative approach over the last few years [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Robot versus video-assisted thoracoscopic thymectomy for large thymic epithelial tumors: a propensity-matched analysis

Zhu,

Zhang,

Zuo

et al. 2023

BMC Surg

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Background Both video-assisted thoracoscopic surgery (VATS) thymectomy and robot-assisted thoracoscopic surgery (RATS) thymectomy have been suggested as technically sound approaches for early-stage thymic epithelial tumors. However, the choice of VATS or RATS thymectomy for large and advanced thymic epithelial tumors remains controversial. In this study, the perioperative outcomes of VATS and RATS thymectomy were compared in patients with large thymic epithelial tumors (size ≥5.0 cm). Methods A total of 113 patients with large thymic epithelial tumors who underwent minimally invasive surgery were included. Sixty-three patients underwent RATS, and 50 patients underwent VATS. Patient characteristics and perioperative variables were compared. Results Compared with the VATS group, the RATS group experienced a shorter operation time (median: 110 min vs.130 min; P < 0.001) and less blood loss (30.00 ml vs. 100.00 ml, P < 0.001). No patients in the RATS group needed conversion to open surgery, but in the VATS series, five patients required conversion to open procedures (0% vs. 14.29%, P = 0.054). The rate of concomitant resection in the RATS group was similar to that in the VATS group (11.43% vs. 5.71%; P = 0.673). There was no significant difference between the two groups in the duration of chest tube (P = 0.587), postoperative complications (P = 1.000), and the duration of postoperative hospital stay (P = 0.141). Conclusion For large thymic epithelial tumors, RATS thymectomy can be performed safely and effectively in a radical fashion. Due to the advanced optics and precise instrument control, concomitant resections can be easily achieved in larger thymic epithelial tumors using the robotic approach.

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Section: Introductionmentioning

confidence: 99%

Robot versus video-assisted thoracoscopic thymectomy for large thymic epithelial tumors: a propensity-matched analysis

Zhu,

Zhang,

Zuo

et al. 2023

BMC Surg

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“…The author prefers to utilize the side of predominant laterality of the tumor, and for tumors in the midline the right chest as it affords more room and maneuverability with the absence of the heart, however this does male visualization of the contralateral phenic nerve more challenging. Following resection, the specimen must be placed into an endoscopic specimen bag in order to be removed, to minimize capsule disruption within the pleural cavity and decrease the potential for pleural drop metastastasis ( 13 ). Comparisons between the open and the robotic surgical approach are often still limited to small tumors, less than 4 or 5 cm, and without involvement of the pericardium or surrounding vessels ( 14 ).…”

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confidence: 99%

Size should not be an absolute contraindication: the case for robotic resection of ever larger anterior mediastinal masses

Rochefort

2023

Mediastinum

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Research Progress of Different Surgical Methods and Approaches of Thymectomy

孙¹

2023

ACM

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Robotic-assisted minimally invasive thymectomy for myasthenia gravis with thymoma

Cited by 6 publications

References 13 publications

Robot versus video-assisted thoracoscopic thymectomy for large thymic epithelial tumors: a propensity-matched analysis

Robot versus video-assisted thoracoscopic thymectomy for large thymic epithelial tumors: a propensity-matched analysis

Size should not be an absolute contraindication: the case for robotic resection of ever larger anterior mediastinal masses

Research Progress of Different Surgical Methods and Approaches of Thymectomy

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