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Review
. 2017 May 8:3:67.
doi: 10.21037/jovs.2017.03.28. eCollection 2017.

Robotic thymectomy-a new approach for thymus

Affiliations
Review

Robotic thymectomy-a new approach for thymus

Erkan Kaba et al. J Vis Surg. .

Abstract

Advancements in modern technology bring many evolutions in minimally invasive surgery such as robot assisted approaches. Because of complete resection is so important in thymectomy operations, they became a new era for robotic surgery as a result of its superiorities (intuitive movements, tremor filtration, more degrees of manipulative freedom, motion scaling, and high-definition stereoscopic vision).

Keywords: Robotic-assisted thoracic surgery (RATS); thymectomy; video-assisted thoracic surgery (VATS).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Under general anesthesia, patient right arm is draped and positioned inferiorly near the chest.
Figure 2
Figure 2
Incisions of right RATS thymectomy. RATS, robotic-assisted thoracic surgery.
Figure 3
Figure 3
The robot is docked to the patient.
Figure 4
Figure 4
Maryland bipolar forceps of da Vinci is used to dissect out the gland from the pericardium and sternum without disturbing the integrity of the capsule (4). Available online: http://www.asvide.com/articles/1506
Figure 5
Figure 5
Respectively right upper pole then left upper pole are retracted by using a moderate amount of tension (5). Available online: http://www.asvide.com/articles/1508
Figure 6
Figure 6
The major thymic vein is preparing (6). Available online: http://www.asvide.com/articles/1509

References

    1. Jaretzki A, 3rd, Wolff M. "Maximal" thymectomy for myasthenia gravis. Surgical anatomy and operative technique. J Thorac Cardiovasc Surg 1988;96:711-6. - PubMed
    1. Calhoun RF, Ritter JH, Guthrie TJ, et al. Results of transcervical thymectomy for myasthenia gravis in 100 consecutive patients. Ann Surg 1999;230:555-9; discussion 559-61. 10.1097/00000658-199910000-00011 - DOI - PMC - PubMed
    1. Mineo TC, Pompeo E, Lerut TE, et al. Thoracoscopic thymectomy in autoimmune myasthesia: results of left-sided approach. Ann Thorac Surg 2000;69:1537-41. 10.1016/S0003-4975(00)01237-6 - DOI - PubMed
    1. Kaba E, Cosgun T, Ayalp K, et al. Maryland bipolar forceps of da Vinci is used to dissect out the gland from the pericardium and sternum without disturbing the integrity of the capsule. Asvide 2017;4:197. Available online: http://www.asvide.com/articles/1506
    1. Kaba E, Cosgun T, Ayalp K, et al. Respectively right upper pole then left upper pole are retracted by using a moderate amount of tension. Asvide 2017;4:198. Available online: http://www.asvide.com/articles/1508

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