Indian Journal of Surgical Oncology

, Volume 4, Issue 2, pp 132–137 | Cite as

Thoracic Techniques: Robotic Thymectomy for Thymoma

  • Shaun Deen
  • Alexander S. Farivar
  • Brian E. Louie
Point of Technique


The traditional approach to resection of anterior mediastinal masses has been via sternotomy. This approach has been associated with an average length of stay of 4–5 days, sternal precautions for 6 weeks, a visible scar, and in some cases, long term discomfort. Although some surgeons have attempted VATS resection of thymomas and other anterior mediastinal masses, we have found that a robotic assisted resection, with its enhanced vision (due to the 10× magnification) and endowrist movements, are ideal for the compact space of the anterior mediastinum [1]. Herein, we describe our technique of total thymectomy for thymoma, highlight some adjunctive techniques, discuss the results of robotic thymectomy, and identify the controversies around robotic resection for thymoma.

Right Chest Approach to Total Thymectomy

Patient Selection

For surgeons early in their experience with robotic thymic surgery, we recommend restricting patient selection to patients with thymomas less than...


Thymoma Phrenic Nerve Internal Mammary Artery Thymic Carcinoma Left Internal Mammary Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflicts of Interest

Dr. Louie and Dr. Farivar wish to disclose that they are on the speaker’s bureau and are surgical proctors for Intuitive.


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Copyright information

© Indian Association of Surgical Oncology 2013

Authors and Affiliations

  • Shaun Deen
    • 1
  • Alexander S. Farivar
    • 1
  • Brian E. Louie
    • 1
  1. 1.Minimally Invasive Thoracic Surgery Program, Division of Thoracic SurgerySwedish Cancer Institute and Medical CenterSeattleUSA

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