{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:49:11Z","timestamp":1784580551641,"version":"3.55.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"1\u00b73\u00b75 project for disciplines of excellence\u2013Clinical Research Incubation Project, West China Hospital, Sichuan University","award":["2021HXFH056"],"award-info":[{"award-number":["2021HXFH056"]}]},{"name":"Post-Doctor Research Project, West China Hospital, Sichuan University","award":["2021HXBH091"],"award-info":[{"award-number":["2021HXBH091"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2023,1]]},"DOI":"10.1007\/s00464-022-09423-3","type":"journal-article","created":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T22:02:33Z","timestamp":1657836153000},"page":"90-100","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Safety and feasibility of a modularized procedure for trans-subxiphoid robotic extended thymectomy"],"prefix":"10.1007","volume":"37","author":[{"given":"Hanlu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuqiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanghao","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuyang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenglong","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long-Qi","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9685-7337","authenticated-orcid":false,"given":"Yun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"9423_CR1","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/S1474-4422(18)30392-2","volume":"18","author":"GI Wolfe","year":"2019","unstructured":"Wolfe GI, Kaminski HJ, Aban IB, Minisman G, Kuo HC, Marx A, Str\u00f6bel P, Mazia C, Oger J, Cea JG, Heckmann JM, Evoli A, Nix W, Ciafaloni E, Antonini G, Witoonpanich R, King JO, Beydoun SR, Chalk CH, Barboi AC, Amato AA, Shaibani AI, Katirji B, Lecky BRF, Buckley C, Vincent A, Dias-Tosta E, Yoshikawa H, Waddington-Cruz M, Pulley MT, Rivner MH, Kostera-Pruszczyk A, Pascuzzi RM, Jackson CE, Verschuuren J, Massey JM, Kissel JT, Werneck LC, Benatar M, Barohn RJ, Tandan R, Mozaffar T, Silvestri NJ, Conwit R, Sonett JR, Jaretzki A 3rd, Newsom-Davis J, Cutter GR (2019) Long-term effect of thymectomy plus prednisone versus prednisone alone in patients with non-thymomatous myasthenia gravis: 2-year extension of the MGTX randomised trial. Lancet Neurol 18:259\u2013268","journal-title":"Lancet Neurol"},{"issue":"6","key":"9423_CR2","doi-asserted-by":"publisher","first-page":"1782","DOI":"10.1016\/j.athoracsur.2020.12.010","volume":"112","author":"V Aprile","year":"2020","unstructured":"Aprile V, Korasidis S, Bacchin D, Petralli G, Petrini I, Ricciardi R, Ambrogi MC, Lucchi M (2020) Thymectomy in myasthenic patients with thymoma: killing two birds with one stone. Ann Thorac Surg 112(6):1782\u20131789","journal-title":"Ann Thorac Surg"},{"key":"9423_CR3","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1016\/0003-4975(92)91162-3","volume":"54","author":"RJ Landreneau","year":"1992","unstructured":"Landreneau RJ, Dowling RD, Castillo WM, Ferson PF (1992) Thoracoscopic resection of an anterior mediastinal tumor. Ann Thorac Surg 54:142\u2013144","journal-title":"Ann Thorac Surg"},{"key":"9423_CR4","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1007\/s00464-010-1280-y","volume":"25","author":"CY Lee","year":"2011","unstructured":"Lee CY, Kim DJ, Lee JG, Park IK, Bae MK, Chung KY (2011) Bilateral video-assisted thoracoscopic thymectomy has a surgical extent similar to that of transsternal extended thymectomy with more favorable early surgical outcomes for myasthenia gravis patients. Surg Endosc 25:849\u2013854","journal-title":"Surg Endosc"},{"key":"9423_CR5","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1007\/s00464-003-9146-1","volume":"18","author":"CP Hsu","year":"2004","unstructured":"Hsu CP, Chuang CY, Hsu NY, Chen CY (2004) Comparison between the right side and subxiphoid bilateral approaches in performing video-assisted thoracoscopic extended thymectomy for myasthenia gravis. Surg Endosc 18:821\u2013824","journal-title":"Surg Endosc"},{"key":"9423_CR6","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1016\/j.ejcts.2009.11.029","volume":"37","author":"M Zielinski","year":"2010","unstructured":"Zielinski M, Hauer L, Hauer J, Pankowski J, Nabialek T, Szlubowski A (2010) Comparison of complete remission rates after 5 year follow-up of three different techniques of thymectomy for myasthenia gravis. Eur J Cardio-thorac Surgery 37:1137\u20131143","journal-title":"Eur J Cardio-thorac Surgery"},{"key":"9423_CR7","doi-asserted-by":"publisher","first-page":"1677","DOI":"10.21037\/jtd.2018.03.07","volume":"10","author":"H Zhang","year":"2018","unstructured":"Zhang H, Chen L, Zheng Y, Wang Z, Geng Y, Wang F, Liu D, He A, Li J, Wang Y (2018) Robot-assisted thymectomy via subxiphoid approach: technical details and early outcomes. J Thorac Dis 10:1677\u20131682","journal-title":"J Thorac Dis"},{"key":"9423_CR8","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1093\/icvts\/ivv001","volume":"20","author":"T Suda","year":"2015","unstructured":"Suda T, Tochii D, Tochii S, Takagi Y (2015) Trans-subxiphoid robotic thymectomy. Interact Cardiovasc Thorac Surg 20:669\u2013671","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"9423_CR9","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1016\/j.jtcvs.2016.01.044","volume":"152","author":"M Yano","year":"2016","unstructured":"Yano M, Moriyama S, Haneda H, Nakanishi R (2016) Thymectomy using the subxiphoid approach. J Thorac Cardiovasc Surg 152:278\u2013279","journal-title":"J Thorac Cardiovasc Surg"},{"key":"9423_CR10","doi-asserted-by":"publisher","first-page":"5239","DOI":"10.1007\/s00464-020-08022-4","volume":"35","author":"X Chen","year":"2021","unstructured":"Chen X, Ma Q, Wang X, Wang A, Huang D (2021) Subxiphoid and subcostal thoracoscopic surgical approach for thymectomy. Surg Endosc 35:5239\u20135246","journal-title":"Surg Endosc"},{"issue":"5","key":"9423_CR11","doi-asserted-by":"publisher","first-page":"1656","DOI":"10.1016\/j.athoracsur.2021.05.011","volume":"113","author":"L Jiang","year":"2021","unstructured":"Jiang L, Chen H, Hou Z, Qiu Y, Depypere L, Li J, He J (2021) Subxiphoid versus unilateral VATS thymectomy for thymomas: a propensity score-matching analysis. Ann Thorac Surg 113(5):1656\u20131662","journal-title":"Ann Thorac Surg"},{"key":"9423_CR12","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.ijsu.2019.01.011","volume":"67","author":"L Zhang","year":"2019","unstructured":"Zhang L, Li M, Jiang F, Zhang Z, Zhang Q, Xu L (2019) Subxiphoid versus lateral intercostal approaches thoracoscopic thymectomy for non-myasthenic early-stage thymoma: A propensity score -matched analysis. Int J Surg (Lond, Engl) 67:13\u201317","journal-title":"Int J Surg (Lond, Engl)"},{"key":"9423_CR13","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1007\/s00464-003-9161-2","volume":"18","author":"PF Bakker","year":"2004","unstructured":"Bakker PF, Budde RP, Gr\u00fcndeman PF (2004) Endoscopic robot-assisted extended thymectomy by subxiphoid approach with sternal lifting: feasibility in the pig. Surg Endosc 18:986\u2013989","journal-title":"Surg Endosc"},{"key":"9423_CR14","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1007\/s00464-009-0638-5","volume":"24","author":"N Ishikawa","year":"2010","unstructured":"Ishikawa N, Sun YS, Nifong LW, Oda M, Watanabe G, Chitwood WR Jr (2010) Thoracoscopic robot-assisted extended thymectomy in the human cadaver. Surg Endosc 24:965\u2013967","journal-title":"Surg Endosc"},{"key":"9423_CR15","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1093\/icvts\/ivz165","volume":"29","author":"H Zhang","year":"2019","unstructured":"Zhang H, Zheng Y, Chen LQ, Wang Y (2019) Robotic resection of a thymoma behind the left innominate vein. Interact Cardiovasc Thorac Surg 29:813\u2013815","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"9423_CR16","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1093\/ejcts\/ezr268","volume":"42","author":"W Klimek-Piotrowska","year":"2012","unstructured":"Klimek-Piotrowska W, Mizia E, Kuzdza\u0142 J, Lazar A, Lis M, Pankowski J (2012) Ectopic thymic tissue in the mediastinum: limitations for the operative treatment of myasthenia gravis. Eur J Cardio-thorac Surg 42:61\u201365","journal-title":"Eur J Cardio-thorac Surg"},{"key":"9423_CR17","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1016\/j.jtcvs.2011.04.050","volume":"143","author":"V Ambrogi","year":"2012","unstructured":"Ambrogi V, Mineo TC (2012) Active ectopic thymus predicts poor outcome after thymectomy in class III myasthenia gravis. J Thorac Cardiovasc Surg 143:601\u2013606","journal-title":"J Thorac Cardiovasc Surg"},{"key":"9423_CR18","doi-asserted-by":"publisher","first-page":"i44","DOI":"10.1093\/ejcts\/ezaa183","volume":"58","author":"T Suda","year":"2020","unstructured":"Suda T, Ishizawa H, Nagano H, Negi T, Kawai H, Tochii D, Tochii S, Hoshikawa Y (2020) Early outcomes in 147 consecutive cases of subxiphoid single-port thymectomy and evaluation of learning curves. Eur J Cardio-thorac Surg 58:i44\u2013i49","journal-title":"Eur J Cardio-thorac Surg"},{"key":"9423_CR19","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.21037\/jtd.2018.02.11","volume":"10","author":"Q Lu","year":"2018","unstructured":"Lu Q, Zhao J, Wang J, Chen Z, Han Y, Huang L, Li X, Zhou Y (2018) Subxiphoid and subcostal arch \u201cThree ports\u201d thoracoscopic extended thymectomy for myasthenia gravis. J Thorac Dis 10:1711\u20131720","journal-title":"J Thorac Dis"},{"key":"9423_CR20","doi-asserted-by":"publisher","first-page":"2388","DOI":"10.21037\/jtd.2020.03.81","volume":"12","author":"V Ambrogi","year":"2020","unstructured":"Ambrogi V, Tacconi F, Sellitri F, Tamburrini A, Perroni G, Carlea F, La Rocca E, Vanni G, Schillaci O, Mineo TC (2020) Subxiphoid completion thymectomy for refractory non-thymomatous myasthenia gravis. J Thorac Dis 12:2388\u20132394","journal-title":"J Thorac Dis"},{"key":"9423_CR21","doi-asserted-by":"crossref","first-page":"177","DOI":"10.5761\/atcs.ra.22-00219","volume":"29","author":"F Li","year":"2019","unstructured":"Li F, Ismail M, Elsner A, Uluk D, Bauer G, Meisel A, Rueckert JC (2019) Surgical techniques for Myasthenia gravis: robotic-assisted thoracoscopic surgery. Thorac Cardiovasc Surg 29:177\u2013186","journal-title":"Thorac Cardiovasc Surg"},{"issue":"4","key":"9423_CR22","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1093\/ejcts\/ezab187","volume":"60","author":"H Zhang","year":"2021","unstructured":"Zhang H, Chen LQ, Wang Y (2021) More ectopic thymic tissues resection results in a better outcome for patients with myasthenia gravis. Eur J Cardio-thorac Surg 60(4):1008","journal-title":"Eur J Cardio-thorac Surg"},{"issue":"4","key":"9423_CR23","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1093\/ejcts\/ezab014","volume":"60","author":"CL Wilshire","year":"2021","unstructured":"Wilshire CL, Blitz SL, Fuller CC, R\u00fcckert JC, Li F, Cerfolio RJ, Ghanim AF, Onaitis MW, Sarkaria IS, Wigle DA, Joshi V, Reznik S, Bograd AJ, Valli\u00e8res E, Louie BE (2021) Minimally invasive thymectomy for myasthenia gravis favours left-sided approach and low severity class. Eur J Cardio-thorac Surg 60(4):898\u2013905","journal-title":"Eur J Cardio-thorac Surg"},{"key":"9423_CR24","doi-asserted-by":"publisher","first-page":"E1602","DOI":"10.21037\/jtd.2016.12.48","volume":"8","author":"L Jiang","year":"2016","unstructured":"Jiang L, Liu J, Shao W, Li J, He J (2016) Non-intubated subxiphoid uniportal video-assisted thoracoscopic thymectomy using glasses-free 3D vision. J Thorac Dis 8:E1602\u2013E1604","journal-title":"J Thorac Dis"},{"key":"9423_CR25","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.jtcvs.2015.03.063","volume":"150","author":"FP Caronia","year":"2015","unstructured":"Caronia FP, Fiorelli A, Santini M, Cottone S (2015) Uniportal bilateral video-assisted thoracoscopic extended thymectomy for myasthenia gravis: a case report. J Thorac Cardiovasc Surg 150:e1-3","journal-title":"J Thorac Cardiovasc Surg"},{"key":"9423_CR26","doi-asserted-by":"publisher","first-page":"i34","DOI":"10.1093\/ejcts\/ezaa036","volume":"58","author":"SY Park","year":"2020","unstructured":"Park SY, Han KN, Hong JI, Kim HK, Kim DJ, Choi YH (2020) Subxiphoid approach for robotic single-site-assisted thymectomy. Eur J Cardio-thorac Surg 58:i34\u2013i38","journal-title":"Eur J Cardio-thorac Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09423-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-022-09423-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09423-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T15:50:11Z","timestamp":1700841011000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-022-09423-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,14]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["9423"],"URL":"https:\/\/doi.org\/10.1007\/s00464-022-09423-3","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,14]]},"assertion":[{"value":"14 April 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Drs. Hanlu Zhang, Fuqiang Wang, Guanghao Qiu, Zhiyang Li, Lei Peng, Xuyang Wang, Shenglong Xie, Long-Qi Chen, Yun Wang, and the study funders have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}