[pubmed] Post-Operative Outcomes Associated with Open versus Robotic Thymectomy: A Propensity Matched Analysis

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Semin Thorac Cardiovasc Surg. 2021 Nov 25:S1043-0679(21)00484-6. doi: 10.1053/j.semtcvs.2021.11.011. Online ahead of print.

ABSTRACT

OBJECTIVE: To compare post-operative outcomes associated with thymectomy performed using either open or robotic approaches.

METHODS: Retrospective cohort study from a single-center prospective registry consisting of patients undergoing thymectomy between 2000 and 2020. Patients were grouped according to surgical approach (open vs robotic). A propensity-score matching analysis was performed in a 2:1 open to robotic ratio, and surgical outcomes were evaluated.

RESULTS: We analyzed 234 thymectomies (155 open; 79 robotic). Myasthenia gravis was present in 23.2% and 32.9% (p=0.249) in the open and in the robotic group, respectively. All covariates were balanced in the matched groups (open n=114; robotic n=59), except lesion size. The robotic approach was significantly associated with shorter surgical time (median 95 vs. 65 min, p

Source: https://pubmed.ncbi.nlm.nih.gov/3483895 ... 5&v=2.15.0