{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:46:48Z","timestamp":1791820008301,"version":"4.3.4"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Robotic thymectomy has been suggested and considered technically feasible for thymic tumours. However, because of small-sample series and the lack of data on long-term results, controversies still exist on surgical and oncological results with this approach. We performed a large national multicentre study sought to evaluate the early and long-term outcomes after robot-assisted thoracoscopic thymectomy in thymic epithelial tumours.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>All patients with thymic epithelial tumours operated through a robotic thoracoscopic approach between 2002 and 2022 from 15 Italian centres were enrolled. Demographic characteristics, clinical, intraoperative, postoperative, pathological and follow-up data were retrospectively collected and reviewed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>There were 669 patients (307 men and 362 women), 312 (46.6%) of whom had associated myasthenia gravis. Complete thymectomy was performed in 657 (98%) cases and in 57 (8.5%) patients resection of other structures was necessary, with a R0 resection in all but 9 patients (98.6%). Twenty-three patients (3.4%) needed open conversion, but no perioperative mortality occurred. Fifty-one patients (7.7%) had postoperative complications. The median diameter of tumour resected was 4\u2009cm (interquartile range 3\u20135.5\u2009cm), and Masaoka stage was stage I in 39.8% of patients, stage II in 56.1%, stage III in 3.5% and stage IV in 0.6%. Thymoma was observed in 90.2% of patients while thymic carcinoma occurred in 2.8% of cases. At the end of the follow-up, only 2 patients died for tumour-related causes. Five- and ten-year recurrence rates were 7.4% and 8.3%, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Through the largest collection of robotic thymectomy for thymic epithelial tumours we demonstrated that robot-enhanced thoracoscopic thymectomy is a technically sound and safe procedure with a low complication rate and optimal oncological outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae178","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T23:30:10Z","timestamp":1714087810000},"source":"Crossref","is-referenced-by-count":19,"title":["Robotic thymectomy in thymic tumours: a multicentre, nation-wide study"],"prefix":"10.1093","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3166-1843","authenticated-orcid":false,"given":"Giovanni Maria","family":"Comacchio","sequence":"first","affiliation":[{"name":"Unit of Thoracic Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua , Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Schiavon","sequence":"additional","affiliation":[{"name":"Unit of Thoracic Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua , Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelina Cristina","family":"Zirafa","sequence":"additional","affiliation":[{"name":"Robotic Multispecialty Centre for Surgery, Minimally Invasive and Robotic Thoracic Surgery, University Hospital of Pisa , Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"De Palma","sequence":"additional","affiliation":[{"name":"Unit of Thoracic Surgery, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari \u201cAldo Moro\u201d , Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Scaramuzzi","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, Monaldi Hospital , Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Meacci","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Catholic University of Sacred Heart , Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Bongiolatti","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy; Thoracic Surgery Unit, Careggi University Hospital , Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Monaci","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, University Hospital of Siena , Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paraskevas","family":"Lyberis","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Universit\u00e0 degli Studi di Torino , Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Novellis","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, IRCCS San Raffaele Scientific Institute , Milan, Italy"},{"name":"Universit\u00e0 Vita-Salute San Raffaele , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jury","family":"Brandolini","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna , Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Parini","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Ospedale Maggiore della Carit\u00e0 , Novara, 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Angelo","family":"Rendina","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Sant\u2019Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome , Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Cardillo","sequence":"additional","affiliation":[{"name":"Unit of Thoracic Surgery, Azienda Ospedaliera San Camillo Forlanini Hospital , Rome, Italy"},{"name":"Unicamillus, International University of Health Sciences , Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ottavio","family":"Rena","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Ospedale Maggiore della Carit\u00e0 , Novara, Italy"},{"name":"Department of Health Sciences, Universit\u00e0 del Piemonte Orientale , Novara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piergiorgio","family":"Solli","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna , Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Alloisio","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, IRCCS Humanitas Research Hospital , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Luzzi","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, University Hospital of Siena , Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Facciolo","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, IRCCS Regina Elena National Cancer Institute , Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2818-859X","authenticated-orcid":false,"given":"Luca","family":"Voltolini","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical 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