225 posters, 34 videos, 18 topics, 14 sessions, 251 authors, 55 institutions
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ISMICS 2024 Annual Meeting
29 May - 1 June, 2024 | Athens, Greece
D.71
Monocentric Evaluation Of Surgical And Oncological Outcomes Of Locally Advanced Thymic Tumours: Robotic Vs Open Surgery
Poster Presenter
Authors
Part of Topic
Thoracic Surgery
Objective: Thymic malignancies are rare diseases. The therapy for locally advanced and metastatic neoplasm is not universally established. Surgery remains the gold standard, integrated into a multidisciplinary approach, and radical surgical resection is considered the most important prognostic factor. Currently, open surgery is still the surgical approach of choice in the most advanced stages.This study aims to compare the short-term and long-term results of patients with locally advanced thymic tumours who underwent robotic and open surgery.
Methods: Retrospective study
41 patients (Masaoka stage III-IVa-IVb) who underwent extended thymectomy with radical intent (R0) from March 2011 to August 2021:
-29 (71%): open approach (6 thoracotomy, 11 sternotomy, 2 hemiclamshell)
-12 (29%): robotic approach
We analyzed:
- Patient characteristics and postoperative outcomes
- Perioperative results: myasthenia gravis (MG) diagnosis, operating time, length of hospital stay, complication rate
- Oncological results: disease-free survival (DFS), overall survival (OS)
Results: Between robotic and open surgery:
Conclusions: Radically surgery in locally advanced thymic tumor is associated with favorable prognosis. Robotic thymectomy is comparable with open surgery in terms of oncological results in stage III and IV thymic malignancies and is also associated with fast recovery, shorter than open surgery.