{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:49:15Z","timestamp":1784580555399,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T00:00:00Z","timestamp":1659744000000},"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":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to evaluate the long\u2010term results of robot\u2010assisted (RATS) thymectomy in the treatment of large thymomas, defined as larger than 5\u00a0cm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed 106 thymectomies from 2010 to 2020, creating two groups based on the surgical approach (open or RATS) and size. Kaplan\u2010Meier and Cox\u2010regression were used to estimate and identify risk factors of oncological outcomes. To perform a well\u2010balanced analysis, a propensity score matched (PSM) analysis was conducted for large thymomas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2015, we performed 54 RATS thymectomies: 53.7% (<jats:italic>n<\/jats:italic>\u00a0=\u00a029) for small and 46.3% (<jats:italic>n<\/jats:italic>\u00a0=\u00a025) for large thymomas. Conversions were similar and all patients had a complete resection. The overall (82% vs. 92%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.57) and disease\u2010free survival were comparable between RATS and open (92.5% vs. 93%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.67), outcomes confirmed after PSM for large thymomas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RATS thymectomy could be considered a valid option in selected patients with large thymomas.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2439","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T18:24:51Z","timestamp":1657736691000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010term outcomes of robot\u2010assisted radical thymectomy for large thymomas: A propensity matched analysis"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2722-9270","authenticated-orcid":false,"given":"Stefano","family":"Bongiolatti","sequence":"first","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Salvicchi","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerij","family":"Puzhlyiakov","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Cipollini","sequence":"additional","affiliation":[{"name":"Department of Statistics, Computer Science and Applications (DiSIA) University of Florence  Florence 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