International Society for Minimally Invasive Cardiothoracic Surgery

ISMICS Home ISMICS Home Past & Future Meetings Past & Future Meetings
Facebook   Instagram   Twitter   YouTube

Back to 2024 Abstracts


A Multicenter Study On Surgical And Oncological Outcomes In Patients Who Underwent Thymectomy For Thymic Tumours: Robotic Versus Open Surgery
Carmelina C. Zirafa1, Elisa Sicolo1, Gaetano Romano1, Fabrizia Calabṛ1, Melania Guida1, Michelangelo Maestri1, Piergiorgio Solli2, Giuseppe Cardillo3, Angela De Palma4, Francesco Facciolo5, Luca Voltolini6, Franca Melfi1
1University Hospital of Pisa, Pisa, Italy, 2RCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy, 3Azienda Ospedaliera San Camillo Forlanini, Rome, Italy, Rome, Italy, 4University of Bari "Aldo Moro", Bari, Italy, 5IRCCS Regina Elena National Cancer Institute, Rome, Italy, 6University Hospital Careggi, Florence, Italy

BACKGROUND:
Thymectomy is considered the gold standard in the treatment of thymic neoplasm. Sternotomy has been the traditional approach for removing anterior mediastinal lesions for many years, although the robotic thymectomy is now widely accepted. Papers comparing the two approaches and evaluating oncological and neurological long-term outcomes are still lacking. This study aims to compare the surgical and oncological outcomes of robotic and open thymectomy for thymic neoplasms.METHODS:Data, from six Italian Thoracic Centers, of patients affected by thymic neoplasm surgically treated with extended thymectomy with radical intent by open or robotic approach, between 2011 and 2021, were collected and evaluated. Surgical and oncological information were analysed. RESULTS:
507 patients were enrolled in the study, 228 (45%) patients were treated with the robotic approach and 279 (55%) with open surgery. Comparing the two groups, robotic surgery was associated with longer operative time (p < 0.001), shorter postoperative hospitalisation (p<0.001) and chest tube duration (<0.001), and lower complication rate (p<0.001). No differences were observed in terms of overall survival and disease-free survival
CONCLUSIONS:The robotic approach can be considered safe and feasible when compared to the open technique in terms of short-term and long-term outcomes.


Back to 2024 Abstracts