Journal
THORACIC SURGERY CLINICS
Volume 29, Issue 2, Pages 177-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.thorsurg.2018.12.006
Keywords
Robotic-assisted thoracoscopic surgery; Thymectomy; Myasthenia gravis; Thymoma
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Robotic-assisted thoracoscopic surgery (RATS) creates an extended approach for thymectomy in terms of locating contralateral phrenic nerve and upper poles of the thymus. RATS thymectomy is indicated in all non-thymomatous myasthenia gravis (MG) patients and thymomatous MG patients with resectable thymoma, typically Masaoka-Koga I and II. Left-sided RATS thymectomy is superior for anatomic reasons and in the special care patients with MG. Up to now, left-sided three-trocar RATS thymectomy is the perfect combination of radical resection and minimal invasiveness among various approaches for thymectomy.
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