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https://www.readbyqxmd.com/read/27822454/report-on-first-international-workshop-on-robotic-surgery-in-thoracic-oncology
#1
Giulia Veronesi, Robert Cerfolio, Roberto Cingolani, Jens C Rueckert, Luc Soler, Alper Toker, Umberto Cariboni, Edoardo Bottoni, Uberto Fumagalli, Franca Melfi, Carlo Milli, Pierluigi Novellis, Emanuele Voulaz, Marco Alloisio
A workshop of experts from France, Germany, Italy, and the United States took place at Humanitas Research Hospital Milan, Italy, on February 10 and 11, 2016, to examine techniques for and applications of robotic surgery to thoracic oncology. The main topics of presentation and discussion were robotic surgery for lung resection; robot-assisted thymectomy; minimally invasive surgery for esophageal cancer; new developments in computer-assisted surgery and medical applications of robots; the challenge of costs; and future clinical research in robotic thoracic surgery...
2016: Frontiers in Oncology
https://www.readbyqxmd.com/read/27807708/the-subxiphoid-approach-leads-to-less-invasive-thoracoscopic-thymectomy-than-the-lateral-approach
#2
Motoki Yano, Satoru Moriyama, Hiroshi Haneda, Katsuhiro Okuda, Osamu Kawano, Risa Oda, Ayumi Suzuki, Ryoichi Nakanishi, Hiroki Numanami, Masayuki Haniuda
OBJECTIVE: Video-assisted thoracic surgery (VATS) is widely used in thoracic surgery. This study investigated the usefulness of the subxiphoid approach in thymectomy using VATS techniques. METHODS: Sixty operations were performed using the lateral approach (n = 46) and subxiphoid approach (n = 14). Using the lateral approach, 39 partial thymectomies (PT), 5 total or subtotal thymectomies (TT), and 2 total or subtotal thymectomies with combined resection of the surrounding organs (or tissues) (CR) were performed...
November 2, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27771850/robot-assisted-complete-thymectomy-for-mediastinal-ectopic-parathyroid-adenomas-in-primary-hyperparathyroidism
#3
Alison F Ward, Timothy Lee, Jennifer B Ogilvie, Kepal N Patel, Karen Hiotis, Costas Bizekis, Michael Zervos
One to two percent of ectopic parathyroid adenomas are found in the lower mediastinum and often these are best accessed via a sternotomy or thoracotomy. Video-assisted thoracoscopic surgery (VATS) is an alternative approach with less surgical trauma, decreased morbidity, shorter hospital stays, and superior cosmetic results. Ten years after the first VATS resection of an ectopic mediastinal parathyroid, a robot-assisted thoracoscopic approach was described. Here we describe a series of five robot assisted complete thymectomies in patients with primary hyperparathyroidism due to mediastinal ectopic parathyroid adenomas...
October 22, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27672105/port-site-implantation-of-type-a-masaoka-stage%C3%A2-i-thymoma-after-video-assisted-thoracic-surgery-a-case-report
#4
Naohiro Nose, Kazuhiro Higuchi, Eiichi Chosa, Takanori Ayabe, Masaki Tomita, Kunihide Nakamura
A 60-year-old woman was referred to our hospital with an anterior mediastinal tumor measuring 3.5 cm in diameter on computed tomography (CT). We performed tumor resection by video-assisted thoracic surgery (VATS) with three ports. The final diagnosis was Type A Masaoka Stage I thymoma. On follow-up CT performed 36 months after the operation, two pleural tumors were detected at the port sites through which the forceps and ultrasonic scalpel had passed repeatedly during the operation. We therefore performed a second operation and enucleated the tumors while preserving the ribs...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27426672/video-assisted-thoracoscopic-surgery-thymectomy-versus-open-thymectomy-in-patients-with-myasthenia-gravis-a-meta-analysis
#5
Kang Qi, Bo Wang, Bin Wang, Lian-Bin Zhang, Xiang-Yang Chu
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) thymectomy has become a feasible treatment for myasthenia gravis (MG) in recent years. The objective of the present meta-analysis was to evaluate the perioperative characteristics, safety, and completely stable remission rate in patients with MG who received VATS or open thymectomy (OT). METHODS: We searched PubMed, Embase, ScienceDirect, Web of Science, and CNKI for related articles using combinations of the search terms video-assisted thoracoscopic thymectomy, transsternal thymectomy, and MG...
June 21, 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27350653/sternotomy-versus-video-assisted-thoracoscopic-surgery-for-thymectomy-of-myasthenia-gravis-patients-a-meta-analysis
#6
Yingtsai Gung, Hanlu Zhang, Shizhu Li, Yun Wang
INTRODUCTION: The purpose of this study was to compare thymectomy by video-assisted thoracoscopic surgery (VATS) and trans-sternal thymectomy (TS) for myasthenia gravis patients. METHODS: A meta-analysis was conducted to compare thoracoscopic surgery and sternotomy for myasthenia gravis patients with regard to long-term effect and short-term safety. RESULTS: A total of 23 trials were included in our research. No significant differences were detected with regard to myasthenic crisis, wound infection, and muscle weakness improvement...
June 28, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27339722/-perioperative-outcomes-and-long-term-survival-in-clinically-early-stage-thymic-%C3%A2-malignancies-video-assisted-thoracoscopic-thymectomy-versus-open-approaches
#7
Hao Wang, Zhitao Gu, Jianyong Ding, Lijie Tan, Jianhua Fu, Yi Shen, Yucheng Wei, Peng Zhang, Yongtao Han, Chun Chen, Renquan Zhang, Yin Li, Ke-Neng Chen, Hezhong Chen, Yongyu Liu, Youbing Cui, Yun Wang, Liewen Pang, Zhentao Yu, Xinming Zhou, Yangchun Liu, Yuan Liu, Wentao Fang
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). METHODS: Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study...
July 20, 2016: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/27199379/catastrophes-during-video-assisted-thoracoscopic-thymus-surgery-for-myasthenia-gravis
#8
Berker Özkan, Alper Toker
OBJECTIVES: Several series have demonstrated that video-assisted thoracoscopic (VAT) thymectomy is feasible and safe. However, VAT thymectomy is an operation that could invite catastrophes, such as major vascular injuries. We aimed to analyse the events and define the management and outcomes of these serious complications. METHODS: All patients who underwent VAT thymectomy/thymothymectomy recorded in our clinical database were evaluated. A catastrophic complication was defined as any situation that resulted in an additional unplanned major surgical procedure other than the planned closed thymic surgery...
September 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27134836/single-port-vats-mediastinal-tumor-resection-taiwan-experience
#9
Ching-Yang Wu, Ming-Ju Heish, Ching-Feng Wu
BACKGROUND: To present the technique of single-port video-assisted thoracoscopic mediastinal tumor resection, which includes limited thymectomy, extended thymectomy, cyst excision and posterior mediastinal tumor excision, and the early results of resection with the use of this technique. METHODS: Forty patients with mediastinal tumors were treated with single-port thoracoscopic mediastinal resection at Chang Gung Memorial Hospital between April 2014 and September 2015...
March 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27114834/perioperative-outcomes-and-long-term-survival-in-clinically-early-stage-thymic-malignancies-video-assisted-thoracoscopic-thymectomy-versus-open-approaches
#10
Hao Wang, Zhitao Gu, Jianyong Ding, Lijie Tan, Jianhua Fu, Yi Shen, Yucheng Wei, Peng Zhang, Yongtao Han, Chun Chen, Renquan Zhang, Yin Li, Keneng Chen, Hezhong Chen, Yongyu Liu, Youbing Cui, Yun Wang, Liewen Pang, Zhentao Yu, Xinming Zhou, Yangchun Liu, Yuan Liu, Wentao Fang
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, long-term outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). METHODS: Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study...
April 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27014472/subxiphoid-and-subcostal-arch-thoracoscopic-extended-thymectomy-a-safe-and-feasible-minimally-invasive-procedure-for-selective-stage-iii-thymomas
#11
Jinbo Zhao, Juzheng Wang, Zhengwei Zhao, Yong Han, Lijun Huang, Xiaofei Li, Qiang Lu, Yongan Zhou
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) has been applied to resection of small and well-encapsulated thymomas. However, few data are available regarding to the application of VATS in stage III thymomas. METHODS: A novel subxiphoid and subcostal arch approach for thoracoscopic extended thymectomy was developed by us. From January 2014 to August 2015, 14 patients with stage III thymoma were treated by using this new technique in the Department of Thoracic Surgery, Tangdu hospital, Xi'an, China...
March 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26984980/comparative-study-for-surgical-management-of-thymectomy-for-non-thymomatous-myasthenia-gravis-from-the-french-national-database-epithor
#12
Bastien Orsini, Nicola Santelmo, Pierre Benoit Pages, Jean Marc Baste, Marcel Dahan, Alain Bernard, Pascal Alexandre Thomas
OBJECTIVES: Thymectomy may be part of the therapeutic strategy in patients with myasthenia gravis (MG) without thymoma. Median sternotomy is still considered as the gold standard, but during the last 15 years, several groups have demonstrated the non-inferiority of cervicotomy with upper sternotomy and minimally invasive techniques. To date, there is no consensus on surgical procedure choice. The aim of our study was to compare the morbidity and mortality of three techniques [cervicotomy with upper sternotomy versus sternotomy versus video-assisted thoracic surgery (VATS)/robotic-assisted thoracic surgery (RATS)] from the national database EPITHOR and to analyse French epidemiology...
September 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26904429/video-assisted-thoracoscopic-surgery-versus-sternotomy-in-thymectomy-for-thymoma-and-myasthenia-gravis
#13
Adnan Raza, Edwin Woo
Thymectomy involves the removal of all the soft tissue in the pre-vascular plane of the anterior mediastinum between the two phrenic nerves. Surgical success in controlling myasthenia and the most important factor influencing survival in patients with thymoma depends on complete clearance of thymic tissue. Currently there is a perception that the open (median sternotomy) approach offers better visualisation of the thymic tissue. This perceived advantage is thought to justify the invasive nature of the procedure associated with increased morbidity...
January 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26904426/minimally-invasive-mediastinal-surgery
#14
REVIEW
Franca M A Melfi, Olivia Fanucchi, Alfredo Mussi
In the past, mediastinal surgery was associated with the necessity of a maximum exposure, which was accomplished through various approaches. In the early 1990s, many surgical fields, including thoracic surgery, observed the development of minimally invasive techniques. These included video-assisted thoracic surgery (VATS), which confers clear advantages over an open approach, such as less trauma, short hospital stay, increased cosmetic results and preservation of lung function. However, VATS is associated with several disadvantages...
January 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26904220/left-and-right-sided-video-assisted-thoracoscopic-thymectomy-exhibit-similar-effects-on-myasthenia-gravis
#15
Xuan Xie, Xiangfeng Gan, Baishen Chen, Zhuojian Shen, Minghui Wang, Huizhong Zhang, Xia Xu, Ju Chen
BACKGROUND: Unilateral video-assisted thoracoscopic (VATS) thymectomy features less operative trauma, improved cosmesis, and similar efficiency compared with transsternal (TS) thymectomy for treatment of patients with myasthenia gravis (MG). Unilateral VATS thymectomy can be easily performed from either side of the thorax, because thymus is located in the middle of mediastinum. Nevertheless, the side that provides better outcomes remains controversial. This study presents our experience on treatments for MG and reveals the differences between the unilateral VATS thymectomy performed on each side...
January 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26693152/video-assisted-thoracoscopic-microthymectomy
#16
REVIEW
Joel Dunning
There are many techniques for performing video-assisted thoracoscopic (VATS) thymectomy. This article describes one particular technique that we employ in thymectomies as well as lobectomies. The principles of both operations are as follows, and have been presented in greater detail for lobectomies previously: (I) the use of ports no greater than 5-mm in the intercostal spaces; (II) the use of a 12-mm subxiphoid port; (III) subxiphoid removal of the specimen; (IV) carbon dioxide (CO2) insufflation; (V) vision enabled through a 5-mm camera; (VI) in microlobectomies, the use of a 5-mm stapling device...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693147/minimally-invasive-thymectomy-the-mayo-clinic-experience
#17
Phillip G Rowse, Anja C Roden, Frank M Corl, Mark S Allen, Stephen D Cassivi, Francis C Nichols, K Robert Shen, Dennis A Wigle, Shanda H Blackmon
BACKGROUND: The prevalence of minimally invasive thymectomy (MIT) is increasing and may have significant benefit to patients in terms of morbidity and post-operative recovery. Our aim was to review the Mayo Clinic experience of MIT. METHODS: We reviewed data from all MIT cases collected in a prospectively maintained database from January 1995 to February 2015. Data were collected regarding patient demographics, perioperative management and patient outcomes. RESULTS: A total of 510 thymectomies were performed in 20 years...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693145/video-assisted-thoracoscopic-surgery-versus-open-thymectomy-for-thymoma-a-systematic-review
#18
REVIEW
Ashleigh Xie, Richard Tjahjono, Kevin Phan, Tristan D Yan
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) thymectomy is an increasingly utilized alternative to traditional open approaches for the resection of thymomas. Recent studies have suggested comparable survival and oncological efficacy as well as reduced perioperative morbidity when using the VATS approach. This current systematic review thus aimed to critically evaluate existing evidence for the efficacy and safety of VATS versus open (transsternal or transthoracic) thymectomy for thymomas...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26468270/video-assisted-thoracoscopic-thymectomy-versus-subxiphoid-single-port-thymectomy-initial-results%C3%A2
#19
COMPARATIVE STUDY
Takashi Suda, Ayumi Hachimaru, Daisuke Tochii, Ryo Maeda, Sachiko Tochii, Yasushi Takagi
OBJECTIVES: Compared with conventional median sternotomy, approaches used in thymectomy for myasthenia gravis and anterior mediastinal tumours have become much less invasive in recent years. We previously developed a surgical technique called single-port thymectomy (SPT) to excise the thymus through a single opening made below the xiphoid process. In this study, to show the utility of SPT, we compared factors contributing to low surgical invasiveness between SPT and conventional video-assisted thoracoscopic surgery (VATS) thymectomy...
January 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26380477/-vats-thymectomy-in-myasthenia-gravis-treatment-a-case-report
#20
Dragan Krnić, Joško Juričić, Nenad Ilić, Antonio Jerčić
Myasthenia gravis (MG) is a chronic autoimmune disease characterized by weakness of skeletal muscles, specifically ocular. Relationship between the thymus gland and MG is not fully understood yet. Thymectomy is recommended for individuals with thymoma, but should be considered in all patients under 60 years of age with generalized MG in cases with no thymomatous tissue. We report a 27-year-old female patient with ocular type myasthenia gravis and radiological findings of anterior mediastinal mass, treated by VATS thymectomy...
May 2015: Lijec̆nic̆ki Vjesnik
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