Thoracoscopic robot-assisted extended thymectomy in the human cadaver.

METHODS

Thoracoscopic robot-assisted extended thymectomy was performed in a human cadaver. The technique utilized the da Vinci surgical system inserted through the subxiphoid approach with the sternum lifted upward (anteriorly). A small subxiphoid incision and two additional thoracoports were made in the chest wall, and the sternum was lifted by a new lifting retractor system.

RESULTS

This method provided sufficient view and working space in the anterior mediastinum. A complete thymectomy was performed with facility. The robotic system provides superior optics and allows for enhanced dexterity.

CONCLUSIONS

Minimally invasive robotic-assisted thymectomy is an effective procedure and may add benefits for both surgeon and patients.