Evidence map›Paper›PMID 41410288›Full record

ArticleJournal of surgical oncology2026

Impact of Combined Additional Resections on the Surgical Outcomes of Robot-Assisted Resection of Thymic Epithelial Tumors.

Benedikt Niedermaier, Nabil Khan, Florian Eichhorn, Maria Zehentmeier, Heidrun Grosch, Raffaella Griffo, Alessio Campisi, Antonia Margineanu, Michael Allgäuer, Petros Christopoulos and 3 more

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In one paragraph

Article in Journal of surgical oncology, 2026. 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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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

13 authors.

Benedikt NiedermaierDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.ORCID https://orcid.org/0009-0001-5228-467X
Nabil KhanDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Florian EichhornDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Maria ZehentmeierDepartment 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 (DZL), Heidelberg, Germany.
Raffaella GriffoDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Alessio CampisiDepartment of Thoracic Surgery, Thoraxklinik at the University of Heidelberg, Heidelberg, Germany.
Antonia MargineanuDepartment of Thoracic Oncology, Thoraxklinik, Heidelberg University Hospital and National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and Heidelberg University Hospital, Heidelberg, Germany.
Michael AllgäuerTranslational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research (DZL), Heidelberg, Germany.ORCID https://orcid.org/0000-0003-4518-7887
Petros ChristopoulosTranslational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research (DZL), Heidelberg, Germany.
Michael ThomasTranslational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research (DZL), 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

Thoraxstiftung Heidelberg e.V.
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRobot-assisted thoracoscopy (RATS) is rapidly emerging as the preferred approach for the resection of thymic epithelial tumors (TET). Current challenges include the role of RATS in locally advanced disease and combined additional resections.

methodsThis single-center study included all consecutive robot-assisted surgeries for TET performed between 2018 and 2024. We report perioperative outcomes and findings from a large center for robotic surgery center.

resultsOne hundred and forty-three patients underwent RATS for the resection of histologically confirmed TET, including 130 (91%) patients with thymoma and 13 (9%) patients with thymic carcinoma. The median tumor size was 54 mm (35.5-75) and most patients presented in a localized stage of disease, with 120 patients (83.9%) in TNM stage I (TNM 8th edition). The conversion rate to open surgery was 4.2% and R0 resection was achieved in 134 (93.7%) patients. Combined extended resections that included lung, pericardium or great vessels were performed in 44 (30.8%) patients and were the only independent predictor of postoperative complications in a multivariable logistic regression model (OR 2.87; p = 0.03).

conclusionsRobot-assisted surgery is feasible and without unexpected safety concerns for TET. Combined extended resections, often necessary for locally advanced disease, are a significant predictor of postoperative complications.

Indexed as

Neoplasms, Glandular and EpithelialRobotic Surgical ProceduresThoracoscopyThymus NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesThymectomyTreatment Outcomeadvanced stagecase seriesperioperative outcomesrobot‐assistedthymoma

Identifiers

PMID41410288
PMCPMC12989189

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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.