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Published in: Surgical Endoscopy 4/2010

01-04-2010 | Letter

Thoracoscopic robot-assisted extended thymectomy in the human cadaver

Authors: Norihiko Ishikawa, You Su Sun, L. Wiley Nifong, Makoto Oda, Go Watanabe, W. Randolph Chitwood Jr.

Published in: Surgical Endoscopy | Issue 4/2010

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Abstract

Methods

Thoracoscopic robot-assisted extended thymectomy was performed in a human cadaver. The technique utilized the da VinciTM surgical system inserted through the subxiphoid approach with the sternum lifted upward (anteriorly). A small subxiphoid incision and two additional thoracoports were made in the chest wall, and the sternum was lifted by a new lifting retractor system.

Results

This method provided sufficient view and working space in the anterior mediastinum. A complete thymectomy was performed with facility. The robotic system provides superior optics and allows for enhanced dexterity.

Conclusions

Minimally invasive robotic-assisted thymectomy is an effective procedure and may add benefits for both surgeon and patients.
Literature
1.
go back to reference Inada K, Shirakusa T, Yoshinaga Y, Yoneda S, Shiraishi T, Okabayashi K et al (2000) The role of video-assisted thoracic surgery for the treatment of lung cancer: lung lobectomy by thoracoscopy versus the standard thoracotomy approach. Int Surg 85:6–12PubMed Inada K, Shirakusa T, Yoshinaga Y, Yoneda S, Shiraishi T, Okabayashi K et al (2000) The role of video-assisted thoracic surgery for the treatment of lung cancer: lung lobectomy by thoracoscopy versus the standard thoracotomy approach. Int Surg 85:6–12PubMed
2.
go back to reference Ishikawa N, Sun YS, Nifong LW, Oda M, Ohta Y, Watanabe G, Chitwood WR Jr (2007) A new retractor system for thoracoscopic thymectomy using the anterior chest wall-lifting method. Surg Endosc 21:140–141CrossRefPubMed Ishikawa N, Sun YS, Nifong LW, Oda M, Ohta Y, Watanabe G, Chitwood WR Jr (2007) A new retractor system for thoracoscopic thymectomy using the anterior chest wall-lifting method. Surg Endosc 21:140–141CrossRefPubMed
3.
go back to reference Scelsi R, Ferrò MT, Scelsi L, Novellino L, Mantegazza R, Cornelio F et al (1966) Detection and morphology of thymic remnants after video-assisted thoracoscopic extended thymectomy (VATET) in patients with myasthenia gravis. Int Surg 81:14–17 Scelsi R, Ferrò MT, Scelsi L, Novellino L, Mantegazza R, Cornelio F et al (1966) Detection and morphology of thymic remnants after video-assisted thoracoscopic extended thymectomy (VATET) in patients with myasthenia gravis. Int Surg 81:14–17
4.
go back to reference Sugarbaker DJ (1993) Thoracoscopy in the management of anterior mediastinal masses. Ann Thorac Surg 56:653–656PubMedCrossRef Sugarbaker DJ (1993) Thoracoscopy in the management of anterior mediastinal masses. Ann Thorac Surg 56:653–656PubMedCrossRef
5.
go back to reference Takeo S, Sakada T, Yano T (2001) Video-assisted extended thymectomy in patients with thymoma by lifting the sternum. Ann Thorac Surg 71:1721–1723CrossRefPubMed Takeo S, Sakada T, Yano T (2001) Video-assisted extended thymectomy in patients with thymoma by lifting the sternum. Ann Thorac Surg 71:1721–1723CrossRefPubMed
7.
go back to reference Savcenko M, Wendt GK, Prince SL, Mack MJ (2002) Video-assisted thymectomy for myasthenia gravis: an update of a single institution experience. Eur J Cardiothorac Surg 22:978–983CrossRefPubMed Savcenko M, Wendt GK, Prince SL, Mack MJ (2002) Video-assisted thymectomy for myasthenia gravis: an update of a single institution experience. Eur J Cardiothorac Surg 22:978–983CrossRefPubMed
Metadata
Title
Thoracoscopic robot-assisted extended thymectomy in the human cadaver
Authors
Norihiko Ishikawa
You Su Sun
L. Wiley Nifong
Makoto Oda
Go Watanabe
W. Randolph Chitwood Jr.
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-009-0638-5

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