Robotic Mediastinal Surgery
Mediastinal masses have traditionally been resected using open approaches such as sternotomy and thoracotomy. These approaches require comparatively large incisions and may result in significant morbidity and protracted hospitalization. Minimally invasive approaches, such as video-assisted thoracic surgery (VATS) and robotic procedures, result in improved patient recovery and decreased length of hospital stay and have therefore become increasingly commonly used. Compared with standard VATS instrumentation, the telerobotic platform allows an increased range of motion and ease of manipulation, which can be beneficial for cases where the operative field and surgical maneuverability are constrained by the confines of the chest wall and the surrounding organs. Robotic approaches may also improve cosmesis, reduce postoperative pain, and shorten recovery times. In this chapter, we discuss considerations for robotic mediastinal surgery and describe in detail a robotic thymectomy technique.
KeywordsThymectomy Mediastinum Myasthenia gravis Thymoma Thymus Robotic surgery
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