Wei Benjamin, Cerfolio Robert
Division of Cardiothoracic Surgery, University of Alabama-Birmingham Medical Center, Birmingham, AL, USA.
J Vis Surg. 2016 Aug 8;2:136. doi: 10.21037/jovs.2016.07.17. eCollection 2016.
Robotic thymectomy is an increasingly used modality. Patients who are candidates for traditional, open thymectomy are typically also candidates for robotic thymectomy, with the exception of patients with invasion of great vessels. Knowledge of and training on the robotic platform is critical for success. Patient and port positioning is described. Critical steps during robotic thymectomy include attention to careful division of the thymus off the innominate vein, and complete retrieval of bilateral superior horns of the gland. Robotic thymectomy may be performed with excellent perioperative and long-term outcomes for both neoplastic and non-neoplastic indications.
机器人辅助胸腺切除术是一种使用越来越广泛的手术方式。适合传统开放性胸腺切除术的患者通常也适合机器人辅助胸腺切除术，但大血管受侵的患者除外。熟悉机器人平台并接受相关培训对手术成功至关重要。文中描述了患者及手术端口的定位。机器人辅助胸腺切除术的关键步骤包括注意小心地将胸腺与无名静脉分离，以及完整切除腺体的双侧上极。对于肿瘤性和非肿瘤性适应证，机器人辅助胸腺切除术均可取得良好的围手术期和长期效果。
