{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:47:41Z","timestamp":1773600461275,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Robot\u2010assisted thoracoscopy (RATS) is rapidly emerging as the preferred approach for the resection of thymic epithelial tumors (TET). Current challenges include the role of RATS in locally advanced disease and combined additional resections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010center study included all consecutive robot\u2010assisted surgeries for TET performed between 2018 and 2024. We report perioperative outcomes and findings from a large center for robotic surgery center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and forty\u2010three patients underwent RATS for the resection of histologically confirmed TET, including 130 (91%) patients with thymoma and 13 (9%) patients with thymic carcinoma. The median tumor size was 54\u2009mm (35.5\u201375) and most patients presented in a localized stage of disease, with 120 patients (83.9%) in TNM stage I (TNM 8th edition). The conversion rate to open surgery was 4.2% and R0 resection was achieved in 134 (93.7%) patients. Combined extended resections that included lung, pericardium or great vessels were performed in 44 (30.8%) patients and were the only independent predictor of postoperative complications in a multivariable logistic regression model (OR 2.87;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robot\u2010assisted surgery is feasible and without unexpected safety concerns for TET. Combined extended resections, often necessary for locally advanced disease, are a significant predictor of postoperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70162","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T12:34:33Z","timestamp":1766061273000},"page":"382-388","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Combined Additional Resections on the Surgical Outcomes of Robot\u2010Assisted Resection of Thymic Epithelial Tumors"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5228-467X","authenticated-orcid":false,"given":"Benedikt","family":"Niedermaier","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Thoraxklinik at the University of Heidelberg Heidelberg Germany"},{"name":"Translational Lung Research Center Heidelberg (TLRC\u2010H) Member of the German Center for Lung Research (DZL) Heidelberg Germany"},{"name":"Division of Systems Biology of Signal Transduction, German Cancer Research Center (DKFZ) DKFZ\u2010ZMBH Alliance Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabil","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Thoraxklinik at the University of Heidelberg Heidelberg Germany"},{"name":"Translational Lung Research Center Heidelberg (TLRC\u2010H) Member of the German Center for Lung Research (DZL) Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Eichhorn","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Thoraxklinik at the University of Heidelberg Heidelberg Germany"},{"name":"Translational Lung Research Center Heidelberg (TLRC\u2010H) Member of the German Center for Lung Research (DZL) Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Zehentmeier","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Thoraxklinik at the University of Heidelberg Heidelberg Germany"},{"name":"Translational Lung Research Center Heidelberg (TLRC\u2010H) Member of the German Center for Lung Research (DZL) Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidrun","family":"Grosch","sequence":"additional","affiliation":[{"name":"Translational Lung Research Center Heidelberg (TLRC\u2010H) Member of the German Center for Lung Research (DZL) Heidelberg Germany"},{"name":"Department of Thoracic Oncology, Thoraxklinik, Heidelberg University Hospital and National Center for Tumor Diseases (NCT) NCT Heidelberg, a partnership between DKFZ and Heidelberg University Hospital Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaella","family":"Griffo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Thoraxklinik at the University of Heidelberg Heidelberg Germany"},{"name":"Translational Lung Research Center Heidelberg (TLRC\u2010H) Member of the German Center for Lung Research (DZL) Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Campisi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Thoraxklinik at the University of Heidelberg Heidelberg Germany"},{"name":"Thoracic Surgery, Department of Surgery, P. 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