Subxiphoid approach for robotic single-site-assisted thymectomy
- Authors
- Park, Seong Yong; Han, Kook Nam; Hong, Jeong In; Kim, Hyun Koo; Kim, Dae Joon; Choi, Young Ho
- Issue Date
- 8월-2020
- Publisher
- OXFORD UNIV PRESS INC
- Keywords
- Thymectomy; Robotic single site; Subxiphoid approach
- Citation
- EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, v.58, pp.34 - 38
- Indexed
- SCIE
SCOPUS
- Journal Title
- EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
- Volume
- 58
- Start Page
- 34
- End Page
- 38
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/54283
- DOI
- 10.1093/ejcts/ezaa036
- ISSN
- 1010-7940
- Abstract
- OBJECTIVES: We previously reported a transthoracic approach using the da Vinci Single-Site (TM) platform. This study describes the outcomes of robotic single-site thymectomy via a subxiphoid approach based on our previous experiences. METHODS: This study included patients, who underwent single-site robotic thymectomy via the subxiphoid approach between September 2018 and October 2019. A 3- to 4-cm vertical incision was made over the subxiphoid area, and the Lapsingle port with CO2 gas was introduced. After docking at the single site, a 5-mm curved cannula, 5-mm cardiere grasper and Maryland bipolar forceps or permanent cautery hook was inserted. The single-site robotic platform was used to conduct all surgical procedures except the dissection around the inferior portion of the thymic tissue performed via a thoracoscopic approach through the same incision. RESULTS: Overall, 13 patients, including 2 with myasthenia gravis, were enrolled. The mean duration of the surgery and chest drainage were 167.3 +/- 52.8 (range 73-253) min and 2.2 +/- 0.9 (range 1-5) days, respectively. All surgeries were successfully completed without conversion to an open surgery, and there were no major post-surgical complications. The diagnoses based on histopathology included thymoma in 10 patients, thymolipoma in 2 patients and atypical carcinoid tumour in 1 patient with free resection margin. CONCLUSIONS: This study demonstrated that robotic single-site-assisted thymectomy via the subxiphoid approach is a safe and technically feasible procedure. Although this initial series comprised relatively simple cases, more advanced and complex procedures can soon be performed with the advent of single-port robotic platform.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
- Graduate School > Department of Biomedical Sciences > 1. Journal Articles
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