ArticleJournal of robotic surgery2018
Robotic-assisted thymectomy for early-stage thymoma: a propensity-score matched analysis.
Article in Journal of robotic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robot-assisted versus open thymectomy a systematic review and meta-analysis of propensity score matched studies.Journal of robotic surgery · 2025Pooled it
- Margin-negative resection and long-term survival following robot-assisted thymectomy for thymoma: A tumor size stratified analysis.JTCVS open · 2026Article
- Subxiphoid robotic thymectomy for anterior mediastinal tumors located in cervical region.JTCVS techniques · 2025Article
- Surgical and Neurological Outcomes in Robotic Thymectomy for Myasthenic Patients with Thymoma.Life (Basel, Switzerland) · 2025Article
- Robotic portal resection for mediastinal tumours: a prospective observational study.Journal of cardiothoracic surgery · 2024Observational
- Article
- Surgical management of thymic tumors: a narrative review with focus on robotic-assisted surgery.Mediastinum (Hong Kong, China) · 2024Review
- Robot versus video-assisted thoracoscopic thymectomy for large thymic epithelial tumors: a propensity-matched analysis.BMC surgery · 2023Article
- Early Postoperative Results after Thymectomy for Thymic Cancer: A Single-Institution Experience.World journal of surgery · 2023Article
- Robot-assisted thoracic surgery versus video-assisted thoracic surgery for mediastinal lesions.Journal of thoracic disease · 2023Article
- Robot-assisted and video-assisted thoracoscopic surgery for thymoma: comparison of the perioperative outcomes using inverse probability of treatment weighting method.Gland surgery · 2022Article
- Robot-assisted thoracoscopic surgery vs. sternotomy for thymectomy: A systematic review and meta-analysis.Frontiers in surgery · 2022Review
- Robotic vs. Transsternal Thymectomy: A Single Center Experience over 10 Years.Journal of clinical medicine · 2021Article
- Robotic and video-assisted lobectomy/segmentectomy for non-small cell lung cancer have similar perioperative outcomes: a systematic review and meta-analysis.Translational cancer research · 2021Article
- Robotic surgery vs. open surgery for thymectomy, a retrospective case-match study.Journal of robotic surgery · 2021Article
- Comparison of surgical outcomes after robotic assisted thoracic surgery, video-assisted thoracic surgery and open resection of thymoma.Mediastinum (Hong Kong, China) · 2021Article
- A case of thymic basaloid carcinoma with rectal carcinoma.International journal of surgery case reports · 2020Article
- A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy.Annals of cardiothoracic surgery · 2019Review
- Optimal management of thymic malignancies: current perspectives.Cancer management and research · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to analyse the feasibility and safety of robotic-assisted thymectomy (RoT) in patients with clinically early stage thymoma, investigating clinical and early oncological results. Between 1998 and 2017, we retrospectively reviewed 76 (42.2%) patients who underwent radical thymectomy for clinically early stage thymoma (Masaoka-Koga I and II), identifying all patients who underwent RoT (n = 28) or open thymectomy (OT) with eligibility criteria for robotic surgery (n = 48). Using a propensity-score matched for tumor size (3.9 ± 1.8 cm) and stage (35% stage I, 42% stage IIA, 23% stage IIB), we paired 24 patients who had RoT with 24 patients undergoing OT. RoT was left-sided in 19 (79.2%) patients. None of the patients required conversion to open surgery. OT was via sternotomy in 21 (87.5%) patients and thoracotomy in 3 (12.5%). Mean operating time was shorter in the RoT group (117 ± 40 min) than in the OT (141 ± 46 min) (p = 0.06), even if not statistically significant. Length of stay was significantly shorter in the RoT group (mean 4.0 ± 1.9 days) than in the OT (mean 5.9 ± 1.7 days) (p = 0.0009). No significant difference between the two groups regarding post-operative complications. Five patients died in the OT group after a median follow-up of 6.1 years (only one for recurrence). After a median follow-up of 1.3 years, all patients in the RoT group were alive without disease. RoT is feasible and safe for early stage thymoma with clear advantage compared to OT in term of short term outcomes. A longer follow-up is needed to better evaluate the oncological results.
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