4.6 Article

Long-Term Outcomes of Robotic Thymectomy in Patients With Thymic Epithelial Tumors

Journal

ANNALS OF THORACIC SURGERY
Volume 112, Issue 2, Pages 430-435

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2020.09.018

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The study of 158 patients who underwent robotic thymectomy for thymic epithelial tumors revealed favorable long-term survival and recurrence rates, comparable to open or thoracoscopic thymectomy, with no postoperative mortality and low postoperative complication rates.
Background. The long-term outcomes of robotic thymectomy for thymic epithelial tumors (TETs) are not well known, even though the early postoperative outcomes have improved. This study aimed to report the long-term survival and recurrence in patients with TETs who underwent robotic thymectomies. Methods. A total of 158 patients who underwent robotic thymectomy for TET and who were followed-up for more than 1 year were included in the study. The median follow-up time was 43 (interquartile range, 40) months, and 156 (98%) patients were followed completely until the end of the study period. Results. The mean age of the patients was 55.7 +/- 12.7 years, and the mean size of the tumor was 4.6 +/- 2.1 cm. There was no postoperative mortality and postoperative complications occurred in 7 (4.4%) patients. The median length of the postoperative hospital stay was 2 (interquartile range, 1-20) days. Thymoma was the most common cell type (n = 132, 84%), and thymic carcinoma (n = 24, 15%) and neuroendocrine tumors (n = 2, 1%) were the next most common types. Advanced stages more than stage III were identified in 15 patients (stage IIIA: n = 7, 4%; stage IVA: n = 5, 3%; and stage IVB: n = 3, 2%). The 5-year disease-specific survival was 100% in thymoma and 95% in thymic carcinoma. The 5-year recurrence-free survival was 94% in thymoma and 79% in thymic carcinoma. Conclusions. Robotic thymectomy could achieve favorable long-term survival and recurrence rates, comparable to open or thoracoscopic thymectomy. (C) 2021 by The Society of Thoracic Surgeons

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