Abstract
Robotic procedures in the anterior mediastinum can be challenging in the existence of pectus excavatum deformity due to the limited intrathoracic working space caused by sternal depression. We propose that the temporary application of a vacuum bell device during the procedure can correct the deformity and thus, facilitate robotic approach similarly to the standard procedure.
Similar content being viewed by others
References
Wolfe GI, Kaminski HJ, Aban IB, Minisman G, Kuo HC, Marx A, et al. Randomized trial of thymectomy in myasthenia gravis. N Engl J Med. 2016;375:511–22.
Taioli E, Paschal PK, Liu B, Kaufman AJ, Flores RM. Comparison of conservative treatment and thymectomy on myasthenia gravis outcome. Ann Thorac Surg. 2016;102(6):1805–13.
Rea F, Marulli G, Bortolotti L, Feltracco P, Zuin A, Sartori F. Experience with the “Da Vinci” robotic system for thymectomy in patients with myasthenia gravis: report of 33 cases. Ann Thorac Surg. 2006;81(2):455–9.
O’Sullivan KE, Kreaden US, Hebert AE, Eaton D, Redmond KC. A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy. Ann Cardiothorac Surg. 2019;8(2):174–93.
Malek MH, Berger DE, Marelich WD, Coburn JW, Beck TW, Housh TJ. Pulmonary function following surgical repair of pectus excavatum: a meta-analysis. Eur J Cardiothorac Surg. 2006;30(4):637–43.
Haecker FM, Sesia SB. Intraoperative use of the vacuum bell for elevating the sternum during the Nuss procedure. J Laparoendosc Adv Surg. 2012;22(9):934–6.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Dr Konstantinos Kapriniotis declares that he has no conflict of interest. Dr Georgios Geropoulos declares that he has no conflict of interest. Dr Thabbta Vianna declares that she has no conflict of interest. Mr Sofoklis Mitsos declares that he has no conflict of interest. Mr Nikolaos Panagiotopoulos declares that he has no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kapriniotis, K., Geropoulos, G., Vianna, T. et al. Facilitating robotic thymectomy in patients with pectus excavatum deformity. Gen Thorac Cardiovasc Surg 69, 618–620 (2021). https://doi.org/10.1007/s11748-020-01515-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-020-01515-y