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.
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
Norihiko
N
Ishikawa
You Su
YS
Sun
L Wiley
LW
Nifong
Makoto
M
Oda
Go
G
Watanabe
W Randolph
WR
Chitwood
D002102:Cadaver; D006801:Humans; D012371:Robotics / Q000295:instrumentation*; D013906:Thoracoscopy / Q000379:methods*; D013934:Thymectomy / Q000379:methods*