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The modified Lyon’s position: an alternative approach to robotic thymectomy

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Abstract

The conventional supine position for robotic thymectomy may present challenges in accessing the lower thymic horns, particularly in cases requiring extensive resection of mediastinal fat. To address this issue, the authors advocate for a lateral patient position during the procedure, emphasizing optimized access to the thymic horns and improved procedural efficacy. The lateral approach involves specific trocar placements and port arrangements to minimize conflicts between instruments. This report proposes an innovative approach to robotic thymectomy for patients diagnosed with thymoma or thymic hyperplasia associated with myasthenia gravis.

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Fig. 1

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No datasets were generated or analysed during the current study.

References

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Funding

The study presented herein did not receive any external funding.

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Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Filippo Gallina, Daniele Forcella and Michael Zervos. The first draft of the manuscript was written by Filippo Gallina and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Filippo Tommaso Gallina.

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Conflicts of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethics approval and consent to participate

This study was performed in line with the principles of the Declaration of Helsinki. Informed consent was obtained from all individual participants included in the study. The authors affirm that human research participants provided informed consent for publication of the images in Fig. 1a, 1b and 1c.

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Gallina, F.T., Forcella, D., Melis, E. et al. The modified Lyon’s position: an alternative approach to robotic thymectomy. J Robotic Surg 18, 112 (2024). https://doi.org/10.1007/s11701-024-01889-8

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  • DOI: https://doi.org/10.1007/s11701-024-01889-8

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