Article
Cardiac & Cardiovascular Systems
Long Jiang, Hanzhang Chen, Zhiliang Hou, Yuan Qiu, Lieven Depypere, Jingpei Li, Jianxing He
Summary: This study compared the safety and feasibility of subxiphoid and subcostal arch thoracoscopic thymectomy with unilateral thoracoscopic thymectomy for early stage thymoma. The results showed that patients in the subxiphoid group had lower postoperative pain scores but longer operation time, with no significant differences in other outcomes. Subxiphoid and subcostal arch thoracoscopic thymectomy is considered a safe and feasible procedure, potentially causing less postoperative pain compared to the unilateral thoracoscopic approach.
ANNALS OF THORACIC SURGERY
(2022)
Article
Oncology
Ziqiang Hong, Yannan Sheng, Xiangdou Bai, Baiqiang Cui, Yingjie Lu, Xusheng Wu, Tao Cheng, Dacheng Jin, Yunjiu Gou
Summary: This study compared the perioperative efficacy and safety of da Vinci robot-assisted thoracoscopic surgery (RATS) for treating anterior mediastinal tumors through subxiphoid and lateral thoracic approaches under laryngeal mask anesthesia. The subxiphoid approach showed advantages in terms of postoperative drainage, hospital stay, and patient pain, while the lateral thoracic approach was faster in docking time. The subxiphoid approach is safe and feasible for resecting anterior mediastinal tumors and has better postoperative outcomes, indicating its potential for wider adoption in hospitals.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Jens-Carsten Rueckert, Luyu Huang
Summary: Due to the complexity of anatomical structures in close proximity, mediastinal surgery has always been a challenging field in thoracic surgery. The technical advantages of robotic assistance provide precise support for oncological aspects. Thymectomy is the most common anterior mediastinal operation and its radicality is of great importance. The remarkable development of robot-assisted mediastinal surgery globally confirms its role as a pioneer in minimally invasive thoracic surgery.
ZENTRALBLATT FUR CHIRURGIE
(2023)
Article
Surgery
Jens-Carsten Rueckert, Luyu Huang
Summary: Due to the complicated anatomical structures and high technical requirements, mediastinal surgery has always been challenging. Robotic assistance provides precision and supports oncological requirements effectively. Thymectomy is the most common anterior mediastinal operation, and its radicality is crucial. The development of robot-assisted mediastinal surgery confirms its role as a pacemaker in minimally invasive thoracic surgery.
ZENTRALBLATT FUR CHIRURGIE
(2023)
Article
Oncology
Yong Mao, Hengrui Liang, Shiqi Deng, Yuan Qiu, Yanran Zhou, Hanzhang Chen, Long Jiang, Jianxing He
Summary: The study retrospectively analyzed patients who underwent subxiphoid VATS resection for anterior mediastinal tumors between December 2015 and September 2019, dividing them into non-intubated VATS and intubated VATS groups. Results showed similar intraoperative and postoperative complications between the two groups, as well as comparable anesthesia time, operation time, chest tube duration, postoperative pain scores, and length of stay.
ANNALS OF TRANSLATIONAL MEDICINE
(2021)
Article
Surgery
Martin Eichhorn, Johannes Haag, Christiane Gruenewald, Peter Reimer, Hauke Winter
Summary: Robot-assisted thoracic surgery is gaining more attention in Europe, providing thoracic surgeons with greater flexibility and a three-dimensional view to perform complex operations in small spaces. With the continuous evolution of robotic platforms, more complex surgical interventions are expected to lead to better outcomes for patients.
ZENTRALBLATT FUR CHIRURGIE
(2021)
Article
Respiratory System
Takahiro Ochi, Hidemi Suzuki, Yuki Hirai, Takahiro Yamanaka, Hiroki Matsumoto, Taisuke Kaiho, Terunaga Inage, Takamasa Ito, Kazuhisa Tanaka, Yuichi Sakairi, Ichiro Yoshino
Summary: This study aimed to compare the perioperative outcomes of video-assisted thoracic surgery (VATS) and robot-assisted thoracic surgery (RATS) for mediastinal procedures. The results showed that RATS is as safe as VATS and may result in a shorter operative time and postoperative hospital stay.
JOURNAL OF THORACIC DISEASE
(2023)
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
Surgery
Weixue Cui, Danxia Huang, Hengrui Liang, Guilin Peng, Mengyang Liu, Run Li, Xin Xu, Jianxing He
Summary: Tubeless VATS for mediastinal tumor resection may lead to shorter anesthesia time, decreased postoperative pain, and faster postoperative recovery compared to traditional VATS, making it a promising approach for carefully selected patients.
Article
Surgery
Elisa Meacci, Dania Nachira, Maria Teresa Congedo, Leonardo Petracca-Ciavarella, Maria Letizia Vita, Venanzio Porziella, Marco Chiappetta, Filippo Lococo, Diomira Tabacco, Elizabeth Katherine Anna Triumbari, Stefano Margaritora
Summary: This study investigated the learning curve of a single surgeon performing 113 consecutive robot-assisted thymectomy (RAT) surgeries. The results showed that the learning curve for RAT was steep, with significant reductions in operative time and docking time after reaching the completion of the learning curve. RAT was found to be safe even before reaching the completion of the learning curve.
FRONTIERS IN SURGERY
(2022)
Article
Oncology
Zhou Zhou, Yanjuan Qu, Yurong Zhou, Binchen Wang, Weidong Hu, Yiyuan Cao
Summary: A comprehensive predictive nomogram based on radiomics data and CT features was established to improve the preoperative diagnostic accuracy and clinical decision-making for anterior mediastinal masses. The use of radiomics data showed good accuracy in predicting therapeutic thymectomy in AMMs, especially in patients who underwent UECT.
FRONTIERS IN ONCOLOGY
(2022)
Article
Surgery
Bin Li, Lijuan Niu, Chenqi Gu, Kaiwen He, Ruizhi Wu, Zhenfeng Pan, Shaomu Chen
Summary: This study investigated the clinical efficacy of the subxiphoid approach for early anterior mediastinal thymoma and compared it with the lateral intercostal approach. The results showed that the subxiphoid approach had advantages in terms of intraoperative blood loss, postoperative hospital stay, tube extubation time, postoperative pleural drainage volume, postoperative VAS pain score, and analgesics dosage.
FRONTIERS IN SURGERY
(2022)
Review
Surgery
Jia-Xin Xu, Kai Qian, Yi Deng, Yan-Yan Zheng, Chun-Mei Ou, Jie Liu, Li-Hong Jiang
Summary: The study compared the rates of complications between right-side and left-side robotic video-assisted thoracoscopic surgery for thymectomy. It was found that the left-side approach had significantly lower rates of overall complications, atrial fibrillation, open conversion, and air leaks compared to the right-side approach. Additionally, subgroup analysis showed higher incidence of postoperative complications in older patients.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2021)
Article
Surgery
Yuxiang Luo, Feng He, Qingchen Wu, Haoming Shi, Dan Chen, Hongtao Tie
Summary: The subxiphoid approach for anterior mediastinal surgery offers advantages such as reduced postoperative pain, shortened duration of chest tube drainage, shortened hospital length of stay, and reduced intraoperative blood loss. It does not impact operation time and the incidence of complications.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Long-fei Zhu, Ling-min Zhang, Chun-jian Zuo, Tian-yu Sun, Bin Jiang
Summary: For large thymic epithelial tumors, robot-assisted thoracoscopic surgery (RATS) thymectomy can be performed safely and effectively, with shorter operation time and less blood loss compared to video-assisted thoracoscopic surgery (VATS). Both approaches had similar rates of concomitant resections and postoperative outcomes.
Article
Respiratory System
Longfei Zhu, Jian Li, Chengwu Liu, Wenshuang Ding, Feng Lin, Chenglin Guo, Lunxu Liu
JOURNAL OF THORACIC DISEASE
(2017)
Article
Respiratory System
Longfei Zhu, Lingmin Zhang, Tianyu Sun, Ruwen Wang, Bin Jiang
Summary: This study evaluated the efficacy and safety of initiative pulmonary bullectomy (IPB) during minimally invasive esophagectomy in esophageal carcinoma patients with ipsilateral pulmonary bullae. The results showed that IPB significantly reduced the incidence of postoperative pneumothorax and had no unfavorable effects on other common complications.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Surgery
Long-fei Zhu, Ling-min Zhang, Chun-jian Zuo, Tian-yu Sun, Bin Jiang
Summary: For large thymic epithelial tumors, robot-assisted thoracoscopic surgery (RATS) thymectomy can be performed safely and effectively, with shorter operation time and less blood loss compared to video-assisted thoracoscopic surgery (VATS). Both approaches had similar rates of concomitant resections and postoperative outcomes.
Article
Oncology
Masashi Nishimura, Yoshifumi Kimizuka, Takunori Ogawa, Motohiro Tsuchiya, Yoshiki Kato, Akira Matsukida, Shunya Igarashi, Koki Ito, Yusuke Serizawa, Tomomi Tanigaki, Yuji Fujikura, Yuka Katsurada, Sho Ogata, Akihiko Kawana
Summary: This study reports a case of IgG4-related retroperitoneal fibrosis occurring after chemotherapy. The patient showed improvement after discontinuing immunotherapy and receiving steroid treatment.
Article
Oncology
Yuta Ohishi, Yoko Nakanishi, Yukari Hirotani, Atsuko Suzuki, Tomoyuki Tanino, Haruna Nishimaki-Watanabe, Hiroko Kobayashi, Fumi Nozaki, Sumie Ohni, Xiaoyan Tang, Kentaro Hayashi, Yoshiko Nakagawa, Tetsuo Shimizu, Ichiro Tsujino, Noriaki Takahashi, Yasuhiro Gon, Shinobu Masuda
Summary: This study aimed to investigate the clinicopathological differences and therapeutic response of NSCLC patients with SDC4::ROS1 fusion to crizotinib. The study found that different ROS1 fusion partners may affect the efficacy of crizotinib and patient prognosis. In addition, higher expression levels of ROS1 and pERK1/2 in tumor cells of case 2 may be related to the therapeutic response and prognosis.
Review
Oncology
Zitong Zheng, Juanjuan Liu, Junling Ma, Runting Kang, Zhen Liu, Jiangyong Yu
Summary: Small cell lung cancer (SCLC) is a highly aggressive malignancy with limited treatment options. Over the past decade, immunotherapy has made progress in the treatment of SCLC, but current immune checkpoint inhibitors have limited benefits for patient survival. Therefore, it is important to explore new targets and develop drugs with novel mechanisms for immunotherapy in SCLC.
Article
Oncology
Kazuto Sugai, Kojiro Nakaoka, Rika Tobita, Shinji Kikuchi, Kei Inoue, Midori Enokido, Moriyuki Kiyoshima
Summary: This article presents a case of multilocular mediastinal cyst leading to the development of thymic cancer. Resection of multilocular anterior mediastinal cysts should be considered due to the challenges in preoperative diagnosis, the potential for coexisting tumors with cysts, and the risk of malignant tumor development.