Article
Cardiac & Cardiovascular Systems
Arvind Kumar, Belal Bin Asaf, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Nitin Sethi, Sukhram Bishnoi
Summary: This study retrospectively analyzed 111 patients who underwent robotic thymectomy for thymoma, revealing that patients with myasthenia gravis had a greater need for resecting surrounding structures and conversions during surgery, and experienced more postoperative complications. However, no clear conclusion could be drawn regarding postoperative survival outcomes.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Surgery
Hanlu Zhang, Fuqiang Wang, Guanghao Qiu, Zhiyang Li, Lei Peng, Xuyang Wang, Shenglong Xie, Long-Qi Chen, Yun Wang
Summary: This study introduced an eight-step modularized procedure (M-RET) for trans-subxiphoid robotic extended thymectomy in MG patients and verified its safety and feasibility. The M-RET group showed advantages in resecting mediastinal adipose tissues and requiring more dissection time compared to the traditional group, but there were no significant differences in intraoperative blood loss, duration of chest drainage, length of hospital stay, and postoperative complications between the two groups.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Masayoshi Inoue, Hiroyuki Yamamoto, Yoshinori Okada, Toshihiko Sato, Yukio Sato, Kenji Suzuki, Ichiro Yoshino, Masayuki Chida
Summary: Minimally invasive surgery is feasible for thymic epithelial tumors, even for large non-invasive thymomas or total thymectomy, but the operative duration and conversion rate increase with the tumor diameter.
Article
Medicine, General & Internal
Luis Filipe Azenha, Robin Deckarm, Fabrizio Minervini, Patrick Dorn, Jon Lutz, Gregor Jan Kocher
Summary: This study compared the outcomes of TS vs. RATS thymectomies and found that patients in the RATS group had shorter hospital stays, smaller tumor sizes, and achieved complete resection. TS was suitable for larger invasive tumors, while RATS was a good alternative for thymomas up to 9.5 cm in size. The choice of surgical approach did not influence oncological outcomes and survival rates.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Respiratory System
Beebarg Raza, Ankit Dhamija, Ghulam Abbas, Alper Toker
Summary: Myasthenia gravis (MG) is an autoimmune disorder characterized by antibodies against acetylcholine receptors, leading to neuromuscular transmission impairment. Diagnosis involves AChR antibody test and electromyography. While acetylcholinesterase inhibitors are the main treatment, thymectomy has become integral, especially in patients with specific factors. Robotic thymectomy has gained popularity globally due to its advantages, leading to less pain, faster recovery, and better outcomes for MG patients.
JOURNAL OF THORACIC DISEASE
(2021)
Article
Cardiac & Cardiovascular Systems
Gaetano Romano, Carmelina Cristina Zirafa, Ilaria Ceccarelli, Melania Guida, Federico Davini, Michelangelo Maestri, Riccardo Morganti, Roberta Ricciardi, Teresa Hung Key, Franca Melfi
Summary: This study analysed the outcomes of 53 patients with thymoma, 34 of whom had myasthenia gravis, treated with robotic surgery. The results showed that robotic surgery was effective in improving neurological outcomes in thymoma patients with MG. Additionally, oncological outcomes confirmed the efficacy of robotic surgery in treating thymic malignancies, however longer follow-up observations are necessary due to the slow growth of thymomas.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Jia-Hao Jiang, Jian Gao, Yi Zhang, Hao Wang, Li-Jie Tan, Jian-Yong Ding
Summary: The study explored the feasibility and safety of modified subxiphoid thoracoscopic thymectomy for patients with locally invasive thymomas. The use of an auxiliary sternal retractor during the procedure resulted in good recovery postoperatively without serious complications.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Antoine Girault, Quentin Pellenc, Arnaud Roussel, Jean Senemaud, Pierre Cerceau, Leon Maggiori, Audrey Huguet, Olivier Corcos, Iannis Ben Abdallah, Yves Castier
Summary: Despite ongoing controversies regarding covered stents versus bare metal stents, experts recommend the use of covered stents in mesenteric occlusive disease. This study reported midterm results of covered stents in the superior mesenteric artery, showing satisfactory outcomes at 2-year follow-up with a significant rate of reinterventions.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Health Care Sciences & Services
Mikio Okazaki, Kazuhiko Shien, Ken Suzawa, Seiichiro Sugimoto, Shinichi Toyooka
Summary: This study describes the optimal position and port placement during robotic resection for various mediastinal tumors. The choice of approach should be based on the size, location, and aggressiveness of the tumor.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Orthopedics
Nathanael D. Heckmann, Joseph K. Antonios, Xiao T. Chen, Hyunwoo P. Kang, Brian C. Chung, Amit S. Piple, Alexander B. Christ, Paul K. Gilbert
Summary: This study evaluated the mid-term survivorship and patient-reported outcomes of robotic-assisted lateral unicompartmental knee arthroplasty (UKA). The results demonstrated high survivorship and excellent patient satisfaction with robotic-assisted lateral UKA, even in patients who did not meet classic indications.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Respiratory System
Kenneth P. Seastedt, Ammara A. Watkins, Michael S. Kent, Cameron T. Stock
Summary: The robot can be used for both benign and malignant mediastinal diseases, with outcomes that are equivalent or superior to sternotomy. The specific robotic approach depends on the location of the lesion based on pre-operative imaging. Further studies are needed to determine the best techniques for thymectomy and other mediastinal diseases. Nevertheless, the robot remains a valuable tool for thoracic surgeons in treating mediastinal disease.
THORACIC SURGERY CLINICS
(2023)
Article
Cardiac & Cardiovascular Systems
Ji Hyeon Park, Kwon Joong Na, Chang Hyun Kang, Samina Park, In Kyu Park, Young Tae Kim
Summary: This study compared the surgical outcomes between conventional robotic lateral thymectomy and recently introduced robotic subxiphoid thymectomy. The results showed that robotic subxiphoid thymectomy can be safely performed in complex upper mediastinal tumors and has shorter hospital stays and less postoperative pain.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Chang Hyun Kang, Kwon Joong Na, Samina Park, In Kyu Park, Young Tae Kim
Summary: The study of 158 patients who underwent robotic thymectomy for thymic epithelial tumors revealed favorable long-term survival and recurrence rates, comparable to open or thoracoscopic thymectomy, with no postoperative mortality and low postoperative complication rates.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Najaf Siddiqi, Samuel Stefan, Ravish Jootun, Ioannis Mykoniatis, Karen Flashman, Richard Beable, Gerald David, Jim Khan
Summary: Robotic CME is shown to be feasible, effective, and safe based on our study results. The standardized approach to robotic CME in this cohort of patients shows good oncological outcomes and improved survival rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Matteo Petroncini, Piergiorgio Solli, Jury Brandolini, Giulia Lai, Filippo Antonacci, Elena Garelli, Kenji Kawamukai, Sergio Nicola Forti Parri, Barbara Bonfanti, Giampiero Dolci, Pietro Bertoglio
Summary: This retrospective study investigated patients undergoing surgery for thymoma or thymic carcinoma. The results showed that open surgery was associated with a higher incidence of complications, longer postoperative stay, and larger tumor size, while minimally invasive surgery was not. Extended resections were related to a higher incidence of complications, but VATS and RATS still ensured a lower incidence of complications and shorter postoperative stay in patients requiring extended resections. Symptomatic myasthenia patients might have a higher risk of more severe complications.
WORLD JOURNAL OF SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Zachary N. Kon, Deane E. Smith, Stephanie H. Chang, Ronald M. Goldenberg, Luis F. Angel, Julius A. Carillo, Travis C. Geraci, Robert J. Cerfolio, Robert A. Montgomery, Nader Moazami, Aubrey C. Galloway
Summary: This study reviewed the use of ECMO support in critically ill COVID-19 patients and found that the survival rate was high, with only 1 death reported during over 350 days of ECMO support.
ANNALS OF THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Robert J. Cerfolio
ANNALS OF THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Robert J. Cerfolio
ANNALS OF THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Robert J. Cerfolio
ANNALS OF THORACIC SURGERY
(2021)
Article
Immunology
Arielle R. Nagler, Eric R. Goldberg, Maria E. Aguero-Rosenfeld, Joan Cangiarella, Gary Kalkut, Carolyn Rooke Monahan, Robert J. Cerfolio
Summary: New York University Langone Health implemented COVID-19 employee testing using reverse-transcription polymerase chain reaction. Over 8 weeks, 14764 employees were tested, with positivity rates declining over time, possibly due to the importance of community transmission and efficacy of personal protective equipment.
CLINICAL INFECTIOUS DISEASES
(2021)
Editorial Material
Cardiac & Cardiovascular Systems
Prabhu Sasankan, Travis C. Geraci, Navneet Narula, Robert Cerfolio
Summary: The adult presentation of a mediastinal arteriovenous malformation is rare, and resection is commonly performed via open thoracotomy. This report describes a robotic resection of such a malformation in a 55-year-old man.
ANNALS OF THORACIC SURGERY
(2021)
Letter
Critical Care Medicine
Stephanie H. Chang, Jeffrey Jiang, Zachary N. Kon, David M. Williams, Travis C. Geraci, Deane E. Smith, Robert J. Cerfolio, Michael Zervos, Costas Bizekis
Editorial Material
Cardiac & Cardiovascular Systems
Robert J. Cerfolio
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Candice L. Wilshire, Sandra L. Blitz, Carson C. Fuller, Jens C. Rueckert, Feng Li, Robert J. Cerfolio, Asem F. Ghanim, Mark W. Onaitis, Inderpal S. Sarkaria, Dennis A. Wigle, Vijay Joshi, Scott Reznik, Adam J. Bograd, Eric Vallieres, Brian E. Louie
Summary: The study findings suggest that for patients with myasthenia gravis, a left-sided thymectomy may be preferred over a right-sided approach due to shorter operating times and potentially better medium-term symptomatic outcomes. Additionally, a lower severity class is associated with a 'good outcome'.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Review
Surgery
Robert J. Cerfolio, Stephanie H. Chang
Summary: In the past decade, healthcare systems have shifted focus towards improving patient outcomes and quality, with the creation of the Efficiency Quality Index (EQI) to better assess quality and value. The unique aspect of the EQI is the involvement of physicians who perform procedures in determining metrics, ensuring an accurate and fair measurement of performance and outcomes.
FRONTIERS IN SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Stephanie H. Chang, David Chen, Darien Paone, Travis C. Geraci, Joshua Scheinerman, Costas Bizekis, Michael Zervos, Robert J. Cerfolio
Summary: This study evaluated 1954 patients with Coronavirus Disease 2019 at New York University Langone Health, finding that 13 patients required thoracic surgery for complications such as pneumothorax, pneumatocele, empyema, and hemothorax. With a 77% survival rate post-surgery and no healthcare providers getting infected with Coronavirus Disease 2019, the study supports the feasibility and safety of thoracic surgery for a small percentage of hospitalized patients with Coronavirus Disease 2019.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Editorial Material
Cardiac & Cardiovascular Systems
Robert J. Cerfolio
ANNALS OF THORACIC SURGERY
(2023)
Review
Oncology
Paulien C. Hoefsmit, Robert J. Cerfolio, Ralph de Vries, Max Dahele, H. Reinier Zandbergen
Summary: Improving operating room efficiency is crucial for maximizing surgical capacity, reducing delays, and optimizing outcomes for lung cancer surgery. Various improvement methodologies have the potential to significantly reduce operative time for lung cancer surgery, increasing the overall value of such procedures.
CLINICAL MEDICINE INSIGHTS-ONCOLOGY
(2021)
Article
Medicine, General & Internal
Leora Horwitz, Simon A. Jones, Robert J. Cerfolio, Fritz Francois, Joseph Greco, Bret Rudy, Christopher M. Petrilli
Summary: A study in a three-hospital academic health system in New York showed a decrease in hospital mortality rates among COVID-19 patients, with adjusted mortality dropping from 25.6% in March to 7.6% in August. The standardized mortality ratio also decreased from 1.26 in March to 0.38 in August, indicating an improving trend in patient outcomes. These findings suggest that mortality from COVID-19 may be decreasing even after adjusting for patient characteristics.
JOURNAL OF HOSPITAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)