ArticleJTCVS techniques2025
Should minimally invasive surgery be the standard approach for early-stage thymoma? A 20-year experience.
Article in JTCVS techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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15 authors.
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Abstract
Background: Minimally invasive surgery (MIS) has become the prevailing technique for resecting early-stage thymoma; however, studies evaluating the oncologic impact of this evolution are lacking. This study aimed to characterize the transition from open surgery to MIS and to evaluate outcomes. Methods: This was a retrospective, single-institution review of resections performed for pathologic TNM stage I-II thymomas between January 2000 and September 2023. The relationships between factors and recurrence were quantified using competing risk regression before and after applying overlap propensity score weights. Results: A total of 296 patients were identified, including 118 who underwent open surgery and 178 who underwent MIS (25 with video-assisted thoracic surgery and 153 with robotic-assisted thoracic surgery). Open surgery composed the vast majority of cases (92.3%) performed between 2000 and 2009, compared to 26.7% between 2010 and 2023 ( Conclusions: MIS has become the principal approach for resecting early-stage thymoma over the last 2 decades. MIS is associated with a lower complication rate and shorter LOS but may be associated with a higher risk of recurrence in certain situations. Larger studies to evaluate the appropriate role of MIS are warranted.
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