<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<ArticleSet>
<Article>
<Journal>
<PublisherName>journal-jmsr</PublisherName>
<JournalTitle>Journal of Medical and Surgical Research</JournalTitle>
<PISSN>I</PISSN>
<EISSN>S</EISSN>
<Volume-Issue>Vol. VIII, n 1</Volume-Issue>
<PartNumber/>
<IssueTopic>Multidisciplinary</IssueTopic>
<IssueLanguage>English</IssueLanguage>
<Season>June 2021</Season>
<SpecialIssue>N</SpecialIssue>
<SupplementaryIssue>N</SupplementaryIssue>
<IssueOA>Y</IssueOA>
<PubDate>
<Year>-0001</Year>
<Month>11</Month>
<Day>30</Day>
</PubDate>
<ArticleType>JMSR Surgery</ArticleType>
<ArticleTitle>Comparison of Early Postoperative Outcomes of Patients Undergoing Robot-Assisted and Transsternal Thymectomy</ArticleTitle>
<SubTitle/>
<ArticleLanguage>English</ArticleLanguage>
<ArticleOA>Y</ArticleOA>
<FirstPage>973</FirstPage>
<LastPage>978</LastPage>
<AuthorList>
<Author>
<FirstName>Burcu</FirstName>
<LastName>Ancin</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>N</CorrespondingAuthor>
<ORCID/>
<FirstName>Mesut Melih</FirstName>
<LastName>Ozercan</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Yigit</FirstName>
<LastName>Yilmaz</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Serkan</FirstName>
<LastName>Uysal</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Ulas</FirstName>
<LastName>Kumbasar</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Erkan</FirstName>
<LastName>Dikmen</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Mustafa</FirstName>
<LastName>Yilmaz</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Riza</FirstName>
<LastName>Dogan</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
</Author>
</AuthorList>
<DOI>10.46327/msrjg.1.000000000000199</DOI>
<Abstract>Objective: Robot-assisted thoracoscopic surgery (RATS) is a minimally invasive technique that has been used in thymectomy operations in recent years. Minimally invasive surgical techniques offer less postoperative pain, a shorter length of hospital stay, and faster recovery compared to conventional surgical techniques. In our study, we aimed to compare the outcomes of robotic and transsternal thymectomies by analyzing the operative and postoperative data of these two approaches. Methods: Twelve robotic thymectomy patients and 16 transsternal thymectomy patients who were operated on in our clinic in 2018 were included in the study. Results: There was no significant difference between the two groups in terms of operative time (p=0.231). The median chest tube duration was 1.5 [range, 1-2] days in robotic thymectomy and 2.5 [range, 1-3.75] days in transsternal thymectomy. However, there was no statistically significant difference between the two groups (p=0.082). The amount of chest tube drainage was significantly lower in the robotic thymectomy group (p=0.006). The length of hospital stay was also significantly shorter in robotic thymectomy patients (p</Abstract>
<AbstractLanguage>English</AbstractLanguage>
<Keywords>Robot-Assisted Thymectomy,Thymectomy,Transsternal Thymectomy</Keywords>
<URLs>
<Abstract>https://journal-jmsr.net/ubijournal-v1copy/journals/abstract.php?article_id=13165&title=Comparison of Early Postoperative Outcomes of Patients Undergoing Robot-Assisted and Transsternal Thymectomy</Abstract>
</URLs>
<References>
<ReferencesarticleTitle>References</ReferencesarticleTitle>
<ReferencesfirstPage>16</ReferencesfirstPage>
<ReferenceslastPage>19</ReferenceslastPage>
<References>Maurizi G, Dand;#39;Andrilli A, Sommella L, Venuta F, Rendina EA. Trans-sternal thymectomy. Thorac Cardiovasc Surg. 2015; 63 (3): 178-86. doi: 10.1055/s-0034-1396083.
Marulli G, Comacchio GM, Rea F. Robotic thymectomy. J Vis Surg. 2017; 3: 68. doi:10.21037/jovs.2017.05.01.
Oand;#39;Sullivan KE, Kreaden US, Hebert AE, Eaton D, Redmond KC. A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy. Ann Cardiothorac Surg. 2019; 8 (2): 174- 193. doi:10.21037/acs.2019.02.04.
Ashton RC Jr, Mc Ginnis KM, Connery CP, et al. Totally endoscopic robotic thymectomy for myasthenia gravis. Ann Thorac Surg. 2003; 75: 569-571. doi: 10.1016/s0003-4975(02)04296-0
Buentzel J, Straube C, Heinz J, Roever C, Beham A, Emmert A, Hinterthaner M, Danner BC, Emmert A. Thymectomy via open surgery or robotic video assisted thoracic surgery: Can a recommendation already be made? Medicine (Baltimore). 2017; 96 (24): e7161. doi:10.1097/MD.0000000000007161.
Seong YW, Kang CH, Choi JW, Kim HS, Jeon JH, Park IK, Kim YT. Early clinical outcomes of robot-assisted surgery for anterior mediastinal mass: its superiority over a conventional sternotomy approach evaluated by propensity score matching. Eur J Cardiothorac Surg. 2014; 45 (3): e68-73. doi:10.1093/ejcts/ezt557.
Balduyck B, Hendriks JM, Lauwers P, Mercelis R, Ten Broecke P, Van Schil P. Quality of life after anterior mediastinal mass resection: a prospective study comparing open with robotic-assisted thoracoscopic resection. Eur J Cardiothorac Surg. 2011; 39 (4): 543-548. doi:10.1016/j.ejcts.2010.08.009.
Augustin F, Schmid T, Sieb M, Lucciarini P, Bodner J. Video-assisted thoracoscopic surgery versus robotic-assisted thoracoscopic surgery thymectomy. Ann Thorac Surg. 2008; 85 (2): S768- 71. doi:10.1016/j.athoracsur.2007.11.079.
Li F, Ismail M, Elsner A, Uluk D, Bauer G, Meisel A, Rueckert JC. Surgical Techniques for Myasthenia Gravis: Robotic-Assisted Thoracoscopic Surgery. Thorac Surg Clin. 2019; 29 (2): 177- 186. doi:10.1016/j.thorsurg.2018.12.006.
Kaba E, Cosgun T, Ayalp K, Toker A. Robotic thymectomy for myasthenia gravis. Ann Cardiothorac Surg. 2019; 8 (2): 288-291. doi:10.21037/acs.2019.02.02.
Casiraghi M, Galetta D, Borri A, Tessitore A, Romano R, Brambilla D, Maisonneuve P, Spaggiari L. Robotic-assisted thymectomy for early-stage thymoma: a propensity-score matched analysis. J Robot Surg. 2018 ;12 (4): 719-724. doi:10.1007/s11701-018-0816-3.
Kamel MK, Rahouma M, Stiles BM, Nasar A, Altorki NK, Port JL. Robotic Thymectomy: Learning Curve and Associated Perioperative Outcomes. J Laparoendosc Adv Surg Tech A. 2017; 27 (7): 685-690. doi: 10.1089/lap.2016.0553.
Cakar F, Werner P, Augustin F, Schmid T, Wolf-Magele A, Sieb M, Bodner J. A comparison of outcomes after robotic open extended thymectomy for myasthenia gravis. Eur J Cardiothorac Surg. 2007; 31 (3): 501-4; doi: 10.1016/j.ejcts.2006.12.016.
Weksler B, Tavares J, Newhook TE, Greenleaf CE, Diehl JT. Robot-assisted thymectomy is superior to trans-sternal thymectomy. Surg Endosc. Jan 2012; 26 (1): 261-6. doi: 10.1007/s00464-011-1879-7.
Friedant AJ, Handorf EA, Su S, Scott WJ. Minimally Invasive versus Open Thymectomy for Thymic Malignancies: Systematic Review and Meta-Analysis. J Thorac Oncol. Jan 2016;11(1):30-8. doi: 10.1016/j.jtho.2015.08.004.
Yang Y, Dong J, Huang Y. Thoracoscopic thymectomy versus open thymectomy for the treatment of thymoma: A meta-analysis. Eur J Surg Oncol. 2016; 42 (11): 1720- 1728. doi:10.1016/j.ejso.2016.03.029.
Orsini B, Santelmo N, Pages PB, Baste JM, Dahan M, Bernard A, Thomas PA; EPITHOR project (French Society of Thoracic and Cardiovascular surgery). Comparative study for surgical management of thymectomy for non-thymomatous myasthenia gravis from the French national database EPITHOR. Eur J Cardiothorac Surg. 2016; 50 (3): 418- 22. doi:10.1093/ejcts/ezw064.
Ye B, Tantai JC, Li W, Ge XX, Feng J, Cheng M, Zhao H. Video-assisted thoracoscopic surgery versus robotic-assisted thoracoscopic surgery in the surgical treatment of Masaoka stage I thymoma. World J Surg Oncol. 2013; 11: 157. doi:10.1186/1477-7819-11-157.
Ye B, Li W, Ge XX, Feng J, Ji CY, Cheng M, Tantai JC, Zhao H. Surgical treatment of early-stage thymomas: robot-assisted thoracoscopic surgery versus trans-sternal thymectomy. Surg Endosc. 2014; 28 (1): 122-6. doi: 10.1007/s00464-013-3137-7.
Wei B, Cerfolio R. Robotic thymectomy. J Vis Surg. 2016; 2: 136. doi: 10.21037/jovs.2016.07.17.
Marulli G, Comacchio GM, Schiavon M, Rebusso A, Mammana M, Zampieri D, Perissinotto E, Rea F. Comparing robotic and trans-sternal thymectomy for early-stage thymoma: a propensity score-matching study. Eur J Cardiothorac Surg. 2018; 54 (3): 579-584. doi: 10.1093/ejcts/ezy075.
Nakamura H, Taniguchi Y. Robot-assisted thoracoscopic surgery: current status and prospects. Gen Thorac Cardiovasc Surg. 2013; 61 (3): 127-32. doi: 10.1007/s11748-012-0185-1.</References>
</References>
</Journal>
</Article>
</ArticleSet>