Technology and application of robot in thymoma surgery

doi:10.3877/cma.j.issn.2095-8773.2020.04.09

Abstract

Abstract:

Thymoma is the most common primary tumor of the anterior mediastinum. The current standard surgical procedure is extended thymectomy, which includes complete removal of the thymus and mediastinal fat tissue. Common surgical methods include open surgery through median sternotomy (ST) , video-assisted thoracoscopic surgery (VATS) , and robot-assisted thoracoscopic surgery (RATS) . With the development of minimally invasive thoracoscopic technology, minimally invasive thymectomy has become extensively popular in clinical practice. Compared with conventional thoracoscopy, Da Vinci robotic surgery has potential advantages in complicated, high risky and elaborate mediastinal surgery. It reduces the difficulty of the operation and allows the surgeon to complete the surgery more comfortably. Common surgical approaches for RATS thymectomy include left transthoracic approach, right transthoracic approach, and subxiphoid retrosternal approach. The indications and surgical procedures are similar to those of VATS. Actually, as a new surgical technique, there are evidences preliminarily confirming its advantages in intraoperative safety and perioperative outcome. However, the long-term efficacy needs to be further verified.

Key words: Thymoma, Thymectomy, Robotic-assisted thoracic surgery, Video-assisted thoracoscopic surgery

Jiahao Zhang, Yajie Zhang, Hecheng Li. Technology and application of robot in thymoma surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2020, 07(04): 252-256.

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