{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T14:56:02Z","timestamp":1784991362885,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Methods<\/jats:title><jats:p>Minimally invasive large thymoma resection remains controversial given the paucity of long\u2010term oncological outcomes. We described the recurrence and survival of patients with thymomas \u2265\u20095\u2009cm resected robotically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive thymoma resections between January 2006 and December 2022 were reviewed. Thymic carcinoma\/neuroendocrine tumors, induction therapy treatment, and Stage IV disease were excluded. For thymomas \u2265\u20095\u2009cm, open versus robotic resections were compared. With robotic resections, thymomas \u2265\/&lt;\u20095\u2009cm were compared. The outcomes were freedom from recurrence (FFR) and overall survival (OS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 40 thymomas \u2265\u20095\u2009cm (15 open and 25 robotic) and 52 robotic thymoma &lt;\u20095\u2009cm resections. Median follow\u2010up was 5 years with 4 (4%) patients having recurrences and 5 (5%) demised.<\/jats:p><jats:p>In thymomas \u2265\u20095\u2009cm, patients were similar, except for higher comorbidities in the open cohort. Five\u2010year FFR (<jats:italic>p<\/jats:italic>\u2009=\u20090.42) and OS (<jats:italic>p<\/jats:italic>\u2009=\u20090.34) were comparable.<\/jats:p><jats:p>Patients with robotic resection of thymomas \u2265\/&lt;\u20095\u2009cm were similar, except those &lt;\u20095\u2009cm were more frequently Masaoka\u2212Koga Stage II. Five\u2010year FFR (<jats:italic>p<\/jats:italic>\u2009=\u20090.62) and OS (<jats:italic>p<\/jats:italic>\u2009=\u20090.62) were similar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Resectable large thymomas, \u2265\u20095\u2009cm, can be approached robotically with similar recurrence and survival when compared to open or smaller robotic resections. In otherwise appropriate thymomas, considerations such as location and proximity to surrounding structures, over size alone, should guide the approach.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.28098","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T20:16:10Z","timestamp":1743365770000},"page":"1521-1528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Recurrence and Survival Following Robotic Resection of Thymomas Greater Than Five Centimeters"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4109-6014","authenticated-orcid":false,"given":"John M.","family":"Campbell","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter T.","family":"White","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam J.","family":"Bograd","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander S.","family":"Farivar","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3637-1802","authenticated-orcid":false,"given":"Candice L.","family":"Wilshire","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Valli\u00e8res","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian E.","family":"Louie","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Swedish Cancer and Digestive Health Institutes Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"issue":"10","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"S260","DOI":"10.1097\/JTO.0b013e3181f1f62d","article-title":"Epidemiology of Thymoma and Associated Malignancies","volume":"5","author":"Engels E. 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