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Marulli G, Comacchio GM, Stocca F, Zampieri D, Romanello P, Calabrese F, Rebusso A, Rea F. Robotic-assisted thymectomy: current perspectives. ACTA ACUST UNITED AC 2016; 3:53-63. [PMID: 30697556 PMCID: PMC6193423 DOI: 10.2147/rsrr.s93012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Thymectomy is the cornerstone in the treatment of thymic tumors and an accepted option for the management of myasthenia gravis. Different surgical approaches have been described, but the gold standard is represented by median sternotomy. In the last two decades, the development of minimally invasive surgery has led to an increased acceptance of thymectomy, especially for benign diseases. Robotic thymectomy seems a further step in the development and evolution of minimally invasive approaches. Since its introduction, different authors described their experience with robotic thymectomy, both for nonthymomatous myasthenia gravis and for thymic tumors. Available data show that robotic thymectomy may be considered a safe and feasible operation. In patients with nonthymomatous myasthenia, robotic thymectomy is effective and the long-term results are encouraging. The role of robotic thymectomy in patients affected by thymoma is still under evaluation, but the intermediate results seem promising both in terms of surgical and oncologic outcomes.
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Affiliation(s)
- Giuseppe Marulli
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Giovanni M Comacchio
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Francesca Stocca
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Davide Zampieri
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Paola Romanello
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Francesca Calabrese
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Alessandro Rebusso
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
| | - Federico Rea
- Thoracic Surgery Unit - Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital, Padova, Italy,
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Affiliation(s)
- Hasan Fevzi Batirel
- Department of Thoracic Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey
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