Surgical Tips to Improve Completeness of Transsubxiphoid Robotic Extended Thymectomy.

Journal: The Annals of thoracic surgery
Published Date:

Abstract

Removal of adipose tissues located behind the left innominate vein and at the aortocaval groove is technically complex for minimally invasive extended thymectomy. The study describes the technical tips of the subxiphoid robotic procedure to remove these adipose tissues. Extended thymectomy by the presented procedure was performed in 39 patients, and 6 patients were diagnosed with ectopic thymic tissues behind the left innominate vein. Satisfactory short-term surgical outcomes demonstrated that dissection of adipose tissues located between mediastinal major vessels is technically feasible and safe by this novel procedure.

Authors

  • Hanlu Zhang
    Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
  • Fuqiang Wang
    School of Automobile Engineering, Harbin Institute of Technology, Weihai, PR China.
  • Guanghao Qiu
    Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
  • Zhiyang Li
    Department of Clinical Laboratory, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
  • Long-Qi Chen
    Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, China.
  • Yun Wang
    Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China.