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.
Ishikawa
Norihiko
N
Center for Robotics and Minimally Invasive Surgery, Brody School of Medicine at East Carolina University, 600 Moye Blvd -LSB248, Greenville, NC 27858, USA. nori-i@mnx.jp
Sun
You Su
YS
Nifong
L Wiley
LW
Oda
Makoto
M
Watanabe
Go
G
Chitwood
W Randolph
WR
D002102:Cadaver; D006801:Humans; D012371:Robotics / Q000295:instrumentation*; D013906:Thoracoscopy / Q000379:methods*; D013934:Thymectomy / Q000379:methods*