Evidence map›Paper›PMID 40152682›Full record

ArticleJournal of surgical oncology2025

Robot-Assisted Versus Open Surgery for the Resection of Large Thymomas: A Retrospective Cohort Study.

Benedikt Niedermaier, Raffaella Griffo, Florian Eichhorn, Laura V Klotz, Heidrun Grosch, Thomas Muley, Hauke Winter, Martin E Eichhorn

Abstract readComparative Study
In one paragraph

Article in Journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Benedikt NiedermaierDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0009-0001-5228-467X
Raffaella GriffoDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Florian EichhornDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Laura V KlotzDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Heidrun GroschTranslational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research, Heidelberg, Germany.
Thomas MuleyTranslational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research, Heidelberg, Germany.
Hauke WinterDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Martin E EichhornDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.

Funding

The study was funded by the Thoraxstiftung Heidelberg e.v.
6 · The paper itself

Abstract

backgroundRobot-assisted thoracic surgery (RATS) is increasingly becoming the preferred surgical method for the resection of thymomas. We initiated the current study to evaluate perioperative outcomes and early recurrence associated with the surgical approach.

methodsIn this retrospective cohort study, 35 patients were included in the RATS group and compared with 29 patients who underwent open surgery between 2010 and 2022 for histologically confirmed large thymoma > 50 mm in TNM Stages I, II, and IIIa.

resultsHistologic subtypes and pathologic stages were similar in both groups. The median duration of chest drainage and median length of stay was significantly shorter in the RATS group (1 vs. 4 days, p < 0.0001, and 4 vs. 10 days, p < 0.0001, respectively). Postoperative complications occurred more frequently in the open surgery group (cumulative incidence of 8.6% vs. 37.9%, p = 0.0048). The median follow-up time was 28 months in the RATS group and 69 months in the open surgery group. Five-year recurrence-free survival was 96.9% without significant differences between the two groups.

conclusionThere is no evidence of increased early recurrence associated with robotic surgery. The length of hospital stay, the duration of thoracic drainage, and the significantly lower complications favor the robot-assisted approach.

Indexed as

Robotic Surgical ProceduresThymectomyThymomaThymus NeoplasmsAdultAgedFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsRetrospective Studiesmediastinumrobotic surgerysurvivalthymic tumorsthymoma

Identifiers

PMID40152682
PMCPMC12232045

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.