Robotic subxiphoid-optical thymectomy
Masanori Shimomura, Shunta Ishihara, Satoru Okada, Masayoshi Inoue
Abstract
Robot-assisted thymectomy through a subxiphoid scopic approach can provide a good surgical view, similar to that of median sternotomy. We originally used the subxiphoid port only for the robotic scope to avoid instrument collision with the assistant device. This approach, robotic subxiphoid-optical thymectomy, is advantageous for the safe and accurate dissection of the bilateral phrenic nerves and the left brachiocephalic vein, which are especially needed in extended thymectomy for patients with myasthenia gravis.
Topics & Concepts
ThymectomyMedicineMyasthenia gravisBrachiocephalic veinSurgeryPhrenic nerveDissection (medical)Median sternotomyPort (circuit theory)AnatomyInternal medicineSuperior vena cavaRespiratory systemEngineeringElectrical engineeringMyasthenia Gravis and ThymomaThyroid and Parathyroid Surgery