Robotic subxiphoid-optical thymectomy | Zendy

Masanori Shimomura | Zendy; Shunta Ishihara | Zendy; Satoru Okada | Zendy; Masayoshi Inoue | Zendy

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Robotic subxiphoid-optical thymectomy

Author(s) -

Masanori Shimomura,

Shunta Ishihara,

Satoru Okada,

Masayoshi Inoue

Publication year - 2022

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 56

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1093/icvts/ivac104

Subject(s) - thymectomy , medicine , myasthenia gravis , brachiocephalic vein , surgery , phrenic nerve , dissection (medical) , median sternotomy , port (circuit theory) , anatomy , superior vena cava , electrical engineering , respiratory system , engineering

Robot-assisted thymectomy through a subxiphoid scopic approach can provide a good surgical view, similar to that of median sternotomy. We originally used the subxiphoid port only for the robotic scope to avoid instrument collision with the assistant device. This approach, robotic subxiphoid-optical thymectomy, is advantageous for the safe and accurate dissection of the bilateral phrenic nerves and the left brachiocephalic vein, which are especially needed in extended thymectomy for patients with myasthenia gravis.

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