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经剑突下入路使用单孔机器人系统行机器人胸腺切除术。

Robotic Thymectomy Using the Single-Port Robotic System via the Subxiphoid Approach.

作者信息

Lee Jun Hee, Gu Byung Mo, Kim Hyun Koo

机构信息

Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

出版信息

J Chest Surg. 2025 Sep 5;58(5):167-174. doi: 10.5090/jcs.25.041. Epub 2025 Aug 7.

DOI:10.5090/jcs.25.041
PMID:40769766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12415429/
Abstract

Technological advances have led to significant progress in minimally invasive surgery in the field of general thoracic surgery. Thymectomy, which has traditionally been performed via an open approach through a median sternotomy, is now entering a new era because of the advantages offered by robot-assisted thoracic surgery. Robotic thymectomy using the single-port robotic system via the subxiphoid approach has recently been introduced. This innovative technique offers several potential benefits, including reduced postoperative pain, faster recovery, and improved cosmetic outcomes. However, it can be technically challenging during the early phase, especially for less experienced robotic surgeons. In this study, we present our surgical technique in detail, providing tips and highlighting potential pitfalls to aid in overcoming these technical challenges.

摘要

技术进步推动了普通胸外科领域微创手术的显著进展。传统上通过正中胸骨切开术的开放手术方式进行的胸腺切除术，由于机器人辅助胸外科手术的优势，如今正进入一个新时代。最近已引入通过剑突下途径使用单孔机器人系统进行机器人胸腺切除术。这种创新技术具有多种潜在益处，包括减轻术后疼痛、更快康复以及改善美容效果。然而，在早期阶段，这在技术上可能具有挑战性，尤其是对于经验较少的机器人外科医生而言。在本研究中，我们详细介绍我们的手术技术，提供技巧并突出潜在陷阱，以帮助克服这些技术挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8796/12415429/6c62f3ae9cce/jcs-58-5-167-f8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8796/12415429/6c62f3ae9cce/jcs-58-5-167-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8796/12415429/cc520cda631f/jcs-58-5-167-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8796/12415429/5fae67cfdb48/jcs-58-5-167-f2.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8796/12415429/64a3f1921cca/jcs-58-5-167-f6.jpg
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本文引用的文献

1
Initial Evaluation of the Safety and Performance of Single-Port Robotic-Assisted Thymectomy Through a Subxiphoid Incision.经剑突下切口单孔机器人辅助胸腺切除术安全性和性能的初步评估
Ann Thorac Surg. 2025 May;119(5):1099-1106. doi: 10.1016/j.athoracsur.2024.11.022. Epub 2024 Dec 10.
2
Long-term outcomes of robot versus video-assisted thymectomy for thymic epithelial tumors: a propensity matched analysis.机器人与电视辅助胸腺切除术治疗胸腺瘤的长期结果：倾向评分匹配分析。
BMC Surg. 2024 Nov 20;24(1):365. doi: 10.1186/s12893-024-02661-3.
3
Initial experience with the da Vinci single-port system in patients with an anterior mediastinal mass.
达芬奇单孔系统在前纵隔肿块患者中的初步经验。
Eur J Cardiothorac Surg. 2024 Sep 2;66(3). doi: 10.1093/ejcts/ezae325.
4
Subxiphoid Single-Port Robotic Thymectomy Using the Single-Port Robotic System versus VATS: A Multi-Institutional, Retrospective, and Propensity Score-Matched Study.使用单孔机器人系统与电视辅助胸腔镜手术进行剑突下单孔机器人胸腺切除术：一项多机构、回顾性和倾向评分匹配研究。
Cancers (Basel). 2024 Aug 15;16(16):2856. doi: 10.3390/cancers16162856.
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Da Vinci single-port robotic system current application and future perspective in general surgery: A scoping review.达芬奇单孔机器人系统在普通外科中的当前应用及未来展望：范围综述。
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Robotic thoracic surgery using the single-port robotic system: Initial experience with more than 100 cases.机器人单孔胸腔镜手术：100 余例初步经验。
J Thorac Cardiovasc Surg. 2024 Dec;168(6):1513-1522.e2. doi: 10.1016/j.jtcvs.2024.03.005. Epub 2024 Apr 28.
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Biportal robotic surgery for anterior mediastinal mass.双孔机器人手术治疗前纵隔肿物
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Initial experience with and surgical outcomes of da Vinci single-port system in general thoracic surgery.达芬奇单孔系统在普通胸外科手术中的初步经验及手术效果
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