Robotic thymectomy—a new approach for thymus

Kaba, Erkan; Cosgun, Tugba; Ayalp, Kemal; Alomari, Mazen Rasmi; Toker, Alper

doi:10.21037/jovs.2017.03.28

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…Robotic arms are more stable with better dexterity in such difficult to reach areas. Robotic thymectomy was routinely performed by specialized centers in Germany and Turkey and several papers were published about the technique and results (11,12). German group showed that robotic thymectomy resulted in higher remission rates than thoracoscopic thymectomy (39% to 20% respectively).…”

Section: Technical Approaches Across the Globementioning

confidence: 99%

Minimally invasive techniques in thymic surgery: a worldwide perspective

Batırel¹

2018

J. Vis. Surg.

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Minimally invasive surgical techniques are important in surgical management of thymic pathologies. Traditional access techniques are being replaced with minimally invasive techniques using multiportal or uniportal approach. Adoption of minimally invasive techniques for thymic malignancies has been slow due to long term recurrence concerns. Recent studies show that minimally invasive video-assisted thoracoscopic surgery (VATS) or robotic approach to early stage thymic malignancies are associated with less intraoperative bleeding, lower rate of respiratory complications, shorter chest tube duration and shorter hospital stay. Oncologic outcomes are at least equivalent to open approach. Minimally invasive approach for benign pathologies is widely applied. There are significant variations in VATS approaches for thymus, showing a multinational interest in the issue of minimizing trauma during thymectomy. Use of robotic technology is also popular, as the retrosternal area is a narrow anatomic space to manipulate conventional instruments. The evolution of minimally invasive surgery for thymus has been possible with contribution from centers all around the world. In the current practice, various approaches are being adopted and every surgeon should prefer a technique depending on surgical preference and experience.

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Section: Technical Approaches Across the Globementioning

confidence: 99%

Minimally invasive techniques in thymic surgery: a worldwide perspective

Batırel¹

2018

J. Vis. Surg.

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“…Surgery of the thymic gland in the treatment of MG and thymoma is also entering a new era for robotic-assisted surgery (68,69). It has been shown that robotic thymectomy in patients with MG is safe and feasible.…”

Section: New Perspectivesmentioning

confidence: 99%

Video-assisted thoracoscopic thymectomy for myasthenia gravis: where we are

Cosgun¹,

Toker²

2018

J. Vis. Surg.

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Thymectomy has long been considered one of the treatment modalities for myasthenia gravis (MG). The centre of debate has been the surgical technique for thymectomy, such as complete, extended and maximal thymectomies, and the surgical approach with the transsternal approach being the most common. Partial sternal splitting was the gold standard approach for many decades with less postoperative complications and safety. Transcervical thymectomy and video-assisted thoracoscopic surgery (VATS) thymectomy gained popularity for superior cosmesis, less invasive approach, shorter hospital stays and increased safety. Both techniques may provide a complete removal of the thymus gland. Now, different VATS techniques are preferred by different surgeons and clinics. The debate is shifting to the options of an extended thymectomy or a bigger thymus resection with minimally invasive techniques. Robotic thymectomy, which is considered a robot-assisted VATS thymectomy, became an important choice for surgical treatment in several centres. In this study, we aimed to study the role of thymectomy in the treatment of MG, including debatable indications and recently developed attitudes for the difficult decisions, and the effects of recent technology on the outcome of MG treatment.

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“…Historically, the gold-standard technique for thymectomy has been the transsternal approach, which ensures optimal exposure and availability of the complete dissection of the thymus and mediastinal fatty tissue [8]. Less-invasive surgical approaches have been developed over time, ranging from transcervical thymectomy or video-assisted thoracic surgery (VATS) thymectomy to the most modern techniques based on robotic-assisted thoracic surgery (RATS) that show a comparable perioperative outcome to open surgery in selected patients [9]. The execution of less-invasive surgical approaches could lead to an increase in thymectomies with a consequent more frequent detection of lesions currently defined as rare.…”

Section: Introductionmentioning

confidence: 99%

The Rarest of Rare Thymic Lesions: A 10-Year Surgical Pathology Experience

Calabrese

Fortarezza

Pezzuto

et al. 2021

Cancers

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The thymus is a specialized primary lymphoid organ located in the midline pre-vascular mediastinum. The organ is the site of various pathological processes, neoplastic and not, whose rarity has not allowed in-depth studies on clinical or histological features of rarest and unusual variants. Herein, we report a 10-year Padova experience in the surgical pathology of the thymus, focusing on the pathological description of nonneoplastic lesions and rare epithelial and mesenchymal tumors recorded in our database, which comprises over 600 thymectomies. The extrapolated rare cases have been categorized into four groups that included 15 cysts, 18 carcinomas, 5 neuroendocrine tumors, and 2 soft tissue tumors. The cases are described from a clinical and pathological point of view and discussed in dedicated sections with a review of the most important literature. In this case, review series, we aim to update the epidemiology of these rare entities, improve diagnostic awareness, and finally, promote a collaborative network between referral centers.

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Robotic thymectomy—a new approach for thymus

Cited by 6 publications

References 10 publications

Minimally invasive techniques in thymic surgery: a worldwide perspective

Minimally invasive techniques in thymic surgery: a worldwide perspective

Video-assisted thoracoscopic thymectomy for myasthenia gravis: where we are

The Rarest of Rare Thymic Lesions: A 10-Year Surgical Pathology Experience

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