Robot-aided thoracoscopic thymectomy for early-stage thymoma: A multicenter European study Giuseppe Marulli, MD, PhD, Federico Rea, MD, Franca Melfi,

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Presentation transcript:

Robot-aided thoracoscopic thymectomy for early-stage thymoma: A multicenter European study Giuseppe Marulli, MD, PhD, Federico Rea, MD, Franca Melfi, MD, Thomas A. Schmid, MD, Mahmoud Ismail, MD, Olivia Fanucchi, MD, Florian Augustin, MD, Marc Swierzy, MD, Francesco Di Chiara, MD, Alfredo Mussi, MD, Jens C. Rueckert, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 5, Pages 1125-1132 (November 2012) DOI: 10.1016/j.jtcvs.2012.07.082 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Computed tomographic scan of an early-stage thymoma. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1125-1132DOI: (10.1016/j.jtcvs.2012.07.082) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, In the surgical room, the patient is positioned supine on the surgical table with the left side elevated at 30°. The left arm is flexed on a support to expose the axillary region. The da Vinci robotic system with the surgical cart and the surgeon’s console are displaced. B, Before surgery the fifth and third intercostal spaces (sites of incisions for port placement) are identified. The thoracic ports are placed, (C) and the arms of the robot are then attached to the ports and are operative (D). Conflict between arms should be avoided. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1125-1132DOI: (10.1016/j.jtcvs.2012.07.082) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Intraoperative left thoracoscopic view of an encapsulated thymoma (white arrow). B, Specimen after thymectomy. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1125-1132DOI: (10.1016/j.jtcvs.2012.07.082) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 A, Overall survival. B, Thymoma-related survival. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1125-1132DOI: (10.1016/j.jtcvs.2012.07.082) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions