{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T21:10:07Z","timestamp":1778274607676,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Korean Society for Thoracic and Cardiovascular Surgery"},{"name":"Asia-Pacific Innovative Thoracic Surgery Symposium 2025"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report the surgical technique for subxiphoid robotic thymectomy with combined superior vena cava (SVC) resection. A blood-drainage cannula was inserted into the left internal jugular vein as a blood-drainage route. A blood infusion cannula was inserted into the left femoral vein. During SVC clamping, an assistant pumped blood through the circuit to prevent clotting. The tumour, SVC, thymus, part of the pericardium and part of the right lung were excised en bloc through a subxiphoid incision. We limited reconstruction to the right brachiocephalic\u2013SVC anastomosis. Robotic-assisted thymectomy via the subxiphoid approach enables SVC replacement, which was previously feasible only with open surgery.<\/jats:p>","DOI":"10.1093\/ejcts\/ezaf454","type":"journal-article","created":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T12:41:00Z","timestamp":1766320860000},"page":"i8-i11","source":"Crossref","is-referenced-by-count":0,"title":["Subxiphoid Robotic Thymectomy with Superior Vena Cava Resection"],"prefix":"10.1093","volume":"68","author":[{"given":"Takashi","family":"Suda","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center , 1 Gotanda, Harisaki, Okazaki 444-0827,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mizuki","family":"Morota","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center , 1 Gotanda, Harisaki, Okazaki 444-0827,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9415-9711","authenticated-orcid":false,"given":"Takahiro","family":"Negi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center , 1 Gotanda, Harisaki, Okazaki 444-0827,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Tochii","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center , 1 Gotanda, Harisaki, Okazaki 444-0827,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachiko","family":"Tochii","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center , 1 Gotanda, Harisaki, Okazaki 444-0827,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"2026050816164932700_ezaf454-B1","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1053\/j.semtcvs.2019.06.007","article-title":"Subxiphoid robot-assisted thymectomy with vascular prosthetic replacement","volume":"32","author":"Suda","year":"2020","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2026050816164932700_ezaf454-B2","doi-asserted-by":"crossref","first-page":"6778","DOI":"10.21037\/jtd-24-914","article-title":"Initial results of uniportal and robot-assisted subxiphoid thymectomy","volume":"16","author":"Negi","year":"2024","journal-title":"J Thorac Dis"},{"key":"2026050816164932700_ezaf454-B3","doi-asserted-by":"crossref","first-page":"111830","DOI":"10.1016\/j.ijscr.2025.111830","article-title":"Da Vinci Xi robot-assisted subxiphoid resection of thymoma and reconstruction of the left brachiocephalic vein: a case report","volume":"135","author":"Xie","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"2026050816164932700_ezaf454-B4","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.jtcvs.2004.05.001","article-title":"Long-term graft patency after replacement of the brachiocephalic veins combined with resection of mediastinal tumors","volume":"129","author":"Shintani","year":"2005","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026050816164932700_ezaf454-B5","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.athoracsur.2010.04.004","article-title":"Results of superior vena cava reconstruction with externally stented polytetrafluoroethylene vascular prostheses","volume":"90","author":"Okereke","year":"2010","journal-title":"Ann Thorac Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/Supplement_1\/i8\/68251679\/ezaf454.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/Supplement_1\/i8\/68251679\/ezaf454.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T20:16:53Z","timestamp":1778271413000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/68\/Supplement_1\/i8\/8673183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":5,"journal-issue":{"issue":"Supplement_1","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezaf454","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]}}}