ReviewJournal of thoracic disease2026
Comparative outcomes of robotic- and video-assisted thoracoscopic surgery in thymectomy: a systematic review of implications for myasthenia gravis remission and long-term oncology.
Review in Journal of thoracic disease, 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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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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Authors and funding
10 authors.
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Abstract
Background: Thymectomy is a cornerstone in the management of thymic epithelial tumors and myasthenia gravis (MG). While minimally invasive techniques like video-assisted thoracoscopic surgery (VATS) have gained prominence, robotic-assisted thoracoscopic surgery (RATS) has emerged as a technically advanced alternative. However, comparative long-term oncological outcomes between RATS and VATS remain underexplored. This review aims to compare RATS and VATS thymectomy regarding long-term outcomes, perioperative results, and cost. Methods: A systematic review was conducted following PRISMA guidelines, with a protocol registered in PROSPERO (CRD420251126351). PubMed/MEDLINE, Web of Science, and Cochrane Library were searched for comparative studies reporting long-term outcomes (≥12 months follow-up) of RATS versus VATS thymectomy. Risk of bias was assessed using the Newcastle-Ottawa Scale. Results: Three retrospective cohort studies (430 patients: 181 RATS, 249 VATS) were included. No significant differences were found in long-term oncological outcomes: 5-year progression-free survival (RATS 87.7% Conclusions: RATS and VATS thymectomy yield equivalent long-term oncological outcomes. RATS offers superior perioperative recovery and may enhance neurological remission in MG patients, but at a significantly higher cost. The choice of technique should consider clinical context, surgeon expertise, and economic factors.
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