ArticleFrontiers in surgery2022
Learning Curve of Robot-Assisted Thymectomy: Single Surgeon's 7-Year Experience.
Article in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative meta-analysis of robot- and video-assisted surgery for thymoma: efficacy, learning curve, and economic burden in 7347 patients.World journal of surgical oncology · 2025Pooled it
- Perioperative outcomes and surgeon-specific temporal trends in subxiphoid robot-assisted anterior mediastinal surgery: a single-center descriptive study.Journal of thoracic disease · 2026Article
- Robotic thymectomy in myasthenia gravis: current evidence, outcomes, and future perspective.Journal of cardiothoracic surgery · 2026Review
- What is the learning curve of the "outside the cage" robotic approach?-a prospective single-center study.Journal of thoracic disease · 2026Article
- Minimally invasive thymectomy: comparative analysis of short-term outcomes after video-assisted thoracoscopy and two robotic platforms.Frontiers in surgery · 2026Article
- Learning curve for full-port robot-assisted mediastinal mass resection: a single-centre retrospective study.Journal of robotic surgery · 2025Article
- Surgical and Neurological Outcomes in Robotic Thymectomy for Myasthenic Patients with Thymoma.Life (Basel, Switzerland) · 2025Article
- Thymus Surgery Prospectives and Perspectives in Myasthenia Gravis.Journal of personalized medicine · 2024Review
- Early Postoperative Results after Thymectomy for Thymic Cancer: A Single-Institution Experience.World journal of surgery · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robot-assisted thymectomy (RAT) has rapidly emerged as the preferred approach over open trans-sternal or video-assisted thoracoscopy for the surgical treatment of thymomas and non-thymomatous myasthenia gravis (MG). The aim of this study was to describe and discuss the learning curve (LC) of a single surgeon performing 113 consecutive RATs. Methods: A single-center retrospective analysis of prospectively collected clinical data was performed on all patients who had been operated on by the same surgeon in an RAT setting between October 2013 and February 2020. The cumulative sum (CUSUM) analysis of the operative time was used to define the completion of the learning curve (CLC) in RAT. The CLC was separately calculated for myasthenic patients, non-myasthenic patients, and docking time. Results: In myasthenic patients, the CLC cut-off was found in 19 patients. Considering the CLC cut-off of 19 patients, the mean operative time in phase 1 (first 19 cases) was 229.79 ± 93.40 min, while it was 167.35 ± 41.63 min in phase 2 (last 51 cases), Conclusions: According to our data, LC in RAT seems to be steep, and RAT confirms to be safe even before reaching CLC.
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