Long-term outcomes of robot-assisted radical thymectomy for large thymomas: A propensity matched analysis.
Int J Med Robot
; 18(5): e2439, 2022 Oct.
Article
de En
| MEDLINE
| ID: mdl-35830541
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the long-term results of robot-assisted (RATS) thymectomy in the treatment of large thymomas, defined as larger than 5 cm.METHODS:
We retrospectively reviewed 106 thymectomies from 2010 to 2020, creating two groups based on the surgical approach (open or RATS) and size. Kaplan-Meier and Cox-regression were used to estimate and identify risk factors of oncological outcomes. To perform a well-balanced analysis, a propensity score matched (PSM) analysis was conducted for large thymomas.RESULTS:
From 2015, we performed 54 RATS thymectomies 53.7% (n = 29) for small and 46.3% (n = 25) for large thymomas. Conversions were similar and all patients had a complete resection. The overall (82% vs. 92%, p = 0.57) and disease-free survival were comparable between RATS and open (92.5% vs. 93%, p = 0.67), outcomes confirmed after PSM for large thymomas.CONCLUSIONS:
RATS thymectomy could be considered a valid option in selected patients with large thymomas.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Thymome
/
Tumeurs du thymus
/
Robotique
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Humans
Langue:
En
Journal:
Int J Med Robot
Année:
2022
Type de document:
Article
Pays d'affiliation:
Italie