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Duration of RATS was significantly shorter (mean 120 min) compared to VTS (140 min) (p&lt; 0.05). Postoperative pain was also lower in the RATS group (4.5 vs. 6.0 points) (p&lt; 0.05). The incidence of complications was lower in the same group that contributed to earlier recovery. Conclusion. Robot-assisted surgeries are preferable for anterior mediastinal tumors. The advantages of RATS include shorter surgery time, lower pain and complication rate. 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