Bereich Thoraxchirurgie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
Klinik für Chirurgie, Franziskus-Krankenhaus Berlin, Akademisches Lehrkrankenhaus der Charité Universitätsmedizin Berlin, Budapester Strasse 15-19, 10787 Berlin, Germany.
Thorac Surg Clin. 2014 May;24(2):189-95, vi-vii. doi: 10.1016/j.thorsurg.2014.02.012.
Robotic thymectomy with the da Vinci robotic system is the latest development in the surgery of thymic gland. Thymectomy for myasthenia gravis is best offered to patients with seropositive acetylcholine receptor antibodies and who are seronegative for muscle-specific kinase protein. The robotic operation technique is indicated in all patients with myasthenia gravis in association with a resectable thymoma, typically Masaoka-Koga stages I and II.
达芬奇机器人系统辅助的胸腺切除术是胸腺疾病外科治疗的最新进展。对于乙酰胆碱受体抗体阳性、肌肉特异性激酶蛋白阴性的重症肌无力患者,胸腺切除术是最佳选择。机器人手术技术适用于所有与可切除胸腺瘤相关的重症肌无力患者,典型的胸腺瘤分期为 Masaoka-Koga I 期和 II 期。