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Subxiphoid approach for robotic single-site-assisted thymectomy

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dc.contributor.author김대준-
dc.contributor.author박성용-
dc.date.accessioned2021-05-21T17:05:30Z-
dc.date.available2021-05-21T17:05:30Z-
dc.date.issued2020-08-
dc.identifier.issn1010-7940-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182695-
dc.description.abstractObjectives: We previously reported a transthoracic approach using the da Vinci Single-Site™ platform. This study describes the outcomes of robotic single-site thymectomy via a subxiphoid approach based on our previous experiences. Methods: This study included patients, who underwent single-site robotic thymectomy via the subxiphoid approach between September 2018 and October 2019. A 3- to 4-cm vertical incision was made over the subxiphoid area, and the Lapsingle port with CO2 gas was introduced. After docking at the single site, a 5-mm curved cannula, 5-mm cardiere grasper and Maryland bipolar forceps or permanent cautery hook was inserted. The single-site robotic platform was used to conduct all surgical procedures except the dissection around the inferior portion of the thymic tissue performed via a thoracoscopic approach through the same incision. Results: Overall, 13 patients, including 2 with myasthenia gravis, were enrolled. The mean duration of the surgery and chest drainage were 167.3 ± 52.8 (range 73-253) min and 2.2 ± 0.9 (range 1-5) days, respectively. All surgeries were successfully completed without conversion to an open surgery, and there were no major post-surgical complications. The diagnoses based on histopathology included thymoma in 10 patients, thymolipoma in 2 patients and atypical carcinoid tumour in 1 patient with free resection margin. Conclusions: This study demonstrated that robotic single-site-assisted thymectomy via the subxiphoid approach is a safe and technically feasible procedure. Although this initial series comprised relatively simple cases, more advanced and complex procedures can soon be performed with the advent of single-port robotic platform.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier Science-
dc.relation.isPartOfEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleSubxiphoid approach for robotic single-site-assisted thymectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthorSeong Yong Park-
dc.contributor.googleauthorKook Nam Han-
dc.contributor.googleauthorJeong In Hong-
dc.contributor.googleauthorHyun Koo Kim-
dc.contributor.googleauthorDae Joon Kim-
dc.contributor.googleauthorYoung Ho Choi-
dc.identifier.doi10.1093/ejcts/ezaa036-
dc.contributor.localIdA00368-
dc.contributor.localIdA01508-
dc.relation.journalcodeJ00811-
dc.identifier.eissn1873-734X-
dc.identifier.pmid32061087-
dc.identifier.urlhttps://academic.oup.com/ejcts/article/58/Supplement_1/i34/5736520-
dc.subject.keywordRobotic single site-
dc.subject.keywordSubxiphoid approach-
dc.subject.keywordThymectomy-
dc.contributor.alternativeNameKim, Dae Joon-
dc.contributor.affiliatedAuthor김대준-
dc.contributor.affiliatedAuthor박성용-
dc.citation.volume58-
dc.citation.numberSuppl 1-
dc.citation.startPagei34-
dc.citation.endPagei38-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol.58(Suppl 1) : i34-i38, 2020-08-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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