Our experience with robotic-assisted thymic surgery

Czech version

Authors: M. Podhráský; J. Tvrdoň; J. Schützner
Authors‘ workplace: III. chirurgická klinika, 1. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Motole, Praha, Česká republika
Published in: Rozhl. Chir., 2024, roč. 103, č. 2, s. 40-47.
Category: Review
doi: https://doi.org/10.33699/PIS.2024.103.2.40–47

Overview

Thoracic surgery is increasingly influenced by the development of minimally invasive approaches which have also influenced surgery in the area of the anterior mediastinum. The previously standard approach to the thymus via partial sternotomy was gradually replaced by the videothoracoscopic approach in most cases. In recent years, robotically assisted surgery has been gaining ground worldwide in this area, as well. The aim of our paper is to provide a comprehensive overview of procedures in the field of the thymus, including their indications, and to share our first experience with robot-assisted thymus surgery. At the 3rd Department of Surgery, since the start of the robot-assisted thymus surgery program, 23 thymectomies have been performed using this approach, of which 17 were performed for thymoma, 3 for myasthenia gravis, and 3 for parathyroid adenoma localized in thymus tissue. From our experience and the available data, it follows that the length of hospitalization, the rate of complications and the resulting effect of robot-assisted procedures is comparable to VTS procedures; however, the robot-assisted surgery also allows for mini-invasive treatment even in significantly obese patients and in patients with advanced thymic tumors who would otherwise be indicated for open thymectomy.

Keywords:

thymoma – myasthenia gravis – robot-assisted surgery – thymectomy

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MUDr. Martin Podhráský
Ježovská 303/2a 150 00 Praha 5
e-mail: martin.podhrasky@seznam.cz

Labels

Surgery Orthopaedics Trauma surgery

Progress in thoracic surgery (not) only in the Czech Republic

Radicality of mediastinal lymphadenectomy in minimally invasive pulmonary resection: a comparative analysis of uniportal and multiportal thoracoscopic approaches

The role of thoracic surgery in the management of complicated acute and post-acute COVID-19 pneumonia (PASC)

Spontaneous pneumomediastinum – Hamman´s syndrome

For postgradual education

Article was published in

Perspectives in Surgery

2024 Issue 2