{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:58:45Z","timestamp":1778180325518,"version":"3.51.4"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. bras. pneumol."],"abstract":"<jats:p>ABSTRACT Objective: To evaluate the results of resection of tumors of the thymus by robotic thoracic surgery, analyzing the extent of resection, postoperative complications, time of surgery, and length of stay. Methods: Retrospective study from a database involving patients diagnosed with a tumor of the thymus and undergoing robotic thoracic surgery at one of seven hospitals in Brazil between October of 2015 and June of 2018. Results: During the study period, there were 18 cases of resection of tumors of the thymus: thymoma, in 12; carcinoma, in 2; and carcinoid tumor, in 1; high-grade sarcoma, in 1; teratoma, in 1; and thymolipoma, in 1. The mean lesion size was 60.1 \u00b1 32.0 mm. Tumors of the thymus were resected with tumor-free margins in 17 cases. The median (interquartile range) for pleural drain time and hospital stay, in days, was 1 (1-3) and 2 (2-4), respectively. There was no need for surgical conversion, and there were no major complications. Conclusions: Robotic thoracic surgery for resection of tumors of the thymus has been shown to be feasible and safe, with a low risk of complications and with postoperative outcomes comparable to those of other techniques.<\/jats:p>","DOI":"10.1590\/1806-3713\/e20180315","type":"journal-article","created":{"date-parts":[[2019,12,13]],"date-time":"2019-12-13T14:14:37Z","timestamp":1576246477000},"source":"Crossref","is-referenced-by-count":6,"title":["Robotic thoracic surgery for resection of thymoma and tumors of the thymus: technical development and initial experience"],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8577-8708","authenticated-orcid":false,"given":"Ricardo Mingarini","family":"Terra","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2385-7707","authenticated-orcid":false,"given":"Jos\u00e9 Ribas","family":"Milanez-de-Campos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1288-3539","authenticated-orcid":false,"given":"Rui","family":"Haddad","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8190-8410","authenticated-orcid":false,"given":"Juliana Rocha Mol","family":"Trindade","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8378-7704","authenticated-orcid":false,"given":"Leticia Leone","family":"Lauricella","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5092-0505","authenticated-orcid":false,"given":"Benoit Jacques","family":"Bibas","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7243-5343","authenticated-orcid":false,"given":"Paulo Manuel","family":"P\u00eago-Fernandes","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.3760\/cma.j.issn.0366-6999.20130177","article-title":"Thymoma Current diagnosis and treatment","volume":"126","author":"Detterbeck FC","year":"2013","journal-title":"Chin Med J (Engl)"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.thorsurg.2010.08.001","article-title":"Management of stage I and II thymoma","volume":"21","author":"Detterbeck FC","year":"2011","journal-title":"Thorac Surg Clin"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.thorsurg.2010.08.006","article-title":"Surgical management of stage III thymic tumors","volume":"21","author":"Venuta F","year":"2011","journal-title":"Thorac Surg Clin"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.thorsurg.2010.08.007","article-title":"Stage IVA thymoma patterns of spread and surgical management","volume":"21","author":"Wright CD","year":"2011","journal-title":"Thorac Surg Clin"},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1378\/chest.108.5.1440","article-title":"Video-assisted thoracoscopic thymectomy for myasthenia gravis","volume":"108","author":"Yim AP","year":"1995","journal-title":"Chest"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1016\/j.jtcvs.2013.10.053","article-title":"Surgical techniques for early-stage thymoma video-assisted thoracoscopic thymectomy versus transsternal thymectomy","volume":"147","author":"Ye B","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s00464-007-9727-5","article-title":"A consensus document on robotic surgery","volume":"22","author":"Herron DM","year":"2008","journal-title":"Surg Endosc"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.athoracsur.2013.07.117","article-title":"Open, video-assisted thoracic surgery, and robotic lobectomy review of a national database","volume":"97","author":"Kent M","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"124","DOI":"10.21037\/jovs.2017.07.13","article-title":"Thymic minimally invasive surgery state of the art across the world: Central-South America","volume":"3","author":"Terra RM","year":"2017","journal-title":"J Vis Surg"},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1055\/s-0035-1549007","article-title":"Robotic-assisted thymectomy surgical procedure and results","volume":"63","author":"Rueckert J","year":"2015","journal-title":"Thorac Cardiovasc Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"68","DOI":"10.21037\/jovs.2017.05.01","article-title":"Robotic thymectomy","volume":"3","author":"Marulli G","year":"2017","journal-title":"J Vis Surg"},{"issue":"5","key":"ref12","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/imi.0000000000000295","article-title":"Robotic Resection of 3 cm and Larger Thymomas Is Associated With Low Perioperative Morbidity and Mortality","volume":"11","author":"Wilshire CL","year":"2016","journal-title":"Innovations (Phila)"},{"issue":"12","key":"ref13","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1097\/JTO.0b013e3181f13682","article-title":"Standard outcome measures for thymic malignancies","volume":"5","author":"Huang J","year":"2010","journal-title":"J Thorac Oncol"},{"issue":"4","key":"ref14","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1002\/rcs.1589","article-title":"Initial experience of robot-assisted thoracoscopic surgery in China","volume":"10","author":"Huang J","year":"2014","journal-title":"Int J Med Robot"},{"issue":"1","key":"ref15","first-page":"18","article-title":"Multi-institutional European experience of robotic thymectomy for thymoma","volume":"5","author":"Marulli G","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.athoracsur.2016.11.058","article-title":"Robot-Assisted Total Thymectomy How I Teach It","volume":"103","author":"Brown LM","year":"2017","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1590\/S1806-37562015000000212","article-title":"Robotic pulmonary lobectomy for lung cancer treatment program implementation and initial experience","volume":"42","author":"Terra RM","year":"2016","journal-title":"J Bras Pneumol"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/j.athoracsur.2016.03.084","article-title":"Robotic Thymectomy in Anterior Mediastinal Mass Propensity Score Matching Study With Transsternal Thymectomy","volume":"102","author":"Kang CH","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"e68","DOI":"10.1093\/ejcts\/ezt557","article-title":"Early clinical outcomes of robot-assisted surgery for anterior mediastinal mass its superiority over a conventional sternotomy approach evaluated by propensity score matching","volume":"45","author":"Seong YW","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.lungcan.2018.01.025","article-title":"Optimal surgical approach to thymic malignancies New trends challenging old dogmas","volume":"118","author":"Ruffini E","year":"2018","journal-title":"Lung Cancer"},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.athoracsur.2014.03.003","article-title":"The incidence and management of postoperative chylothorax after pulmonary resection and thoracic mediastinal lymph node dissection","volume":"98","author":"Bryant AS","year":"2014","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"ref22","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/S0022-5223(96)70265-9","article-title":"Prognostic factors and long-term results after thymoma resection a series of 307 patients","volume":"112","author":"Regnard JF","year":"1996","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"ref23","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1016\/j.athoracsur.2017.05.074","article-title":"Robotic Thymectomy Is Feasible for Large Thymomas A Propensity-Matched Comparison","volume":"104","author":"Kneuertz PJ","year":"2017","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"ref24","doi-asserted-by":"crossref","first-page":"790","DOI":"10.21037\/jtd.2018.01.123","article-title":"Robotic surgery, video-assisted thoracic surgery, and open surgery for early stage lung cancer comparison of costs and outcomes at a single institute","volume":"10","author":"Novellis P","year":"2018","journal-title":"J Thorac Dis"}],"container-title":["Jornal Brasileiro de Pneumologia"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/jbpneu\/v46n1\/1806-3713-jbpneu-46-01-e20180315.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,28]],"date-time":"2024-07-28T15:49:41Z","timestamp":1722181781000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1806-37132020000100201&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"alternative-id":["S1806-37132020000100201"],"URL":"https:\/\/doi.org\/10.1590\/1806-3713\/e20180315","relation":{},"ISSN":["1806-3756","1806-3713"],"issn-type":[{"value":"1806-3756","type":"electronic"},{"value":"1806-3713","type":"print"}],"subject":[],"published":{"date-parts":[[2020]]},"article-number":"e20180315"}}