Na Kwon Joong, Kang Chang Hyun
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
J Thorac Dis. 2020 Feb;12(2):63-69. doi: 10.21037/jtd.2019.09.27.
Robotic thymectomy is widely accepted as a valuable treatment option for surgical resection of thymic epithelial tumor as minimally invasive surgery has shown better early clinical outcomes than open surgery. Technical advances in robotic surgery have expanded the indications for robotic thymectomy, and the technique can be used to perform complete resection of advanced thymic epithelial tumor requiring concomitant resection of adjacent structures. To ensure complete resection, a multi-disciplinary approach, with thorough preoperative evaluation, must be adopted to determine whether a patient shows surgical indications for advanced thymic epithelial tumor. The early clinical outcomes after robotic thymectomy to treat advanced thymic epithelial tumor are promising; however, the long-term oncologic outcomes should be evaluated in the further studies.
机器人辅助胸腺切除术作为胸腺上皮肿瘤手术切除的一种有价值的治疗选择已被广泛接受，因为微创手术已显示出比开放手术更好的早期临床效果。机器人手术的技术进步扩大了机器人辅助胸腺切除术的适应证，该技术可用于对需要同时切除相邻结构的晚期胸腺上皮肿瘤进行完整切除。为确保完整切除，必须采用多学科方法并进行全面的术前评估，以确定患者是否显示出晚期胸腺上皮肿瘤的手术指征。机器人辅助胸腺切除术治疗晚期胸腺上皮肿瘤后的早期临床效果令人鼓舞；然而，长期肿瘤学效果应在进一步研究中进行评估。
