机器人辅助纵隔肿瘤手术中国专家共识（2019 版）_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 中国医师协会医学机器人医师分会胸外科专业委员会筹备组

陆军军医大学大坪医院胸外科（重庆 400042）;

Corresponding author：

中国医师协会医学机器人医师分会胸外科专业委员会筹备组, Email: tanqy001@163.com

Keywords：

纵隔肿瘤; 机器人辅助手术; 专家共识

DOI：

10.7507/1007-4848.201912058

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Citation： 中国医师协会医学机器人医师分会胸外科专业委员会筹备组. 机器人辅助纵隔肿瘤手术中国专家共识（2019 版）. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(2): 117-125. doi: 10.7507/1007-4848.201912058 Copy

1.	Wightman SC, Shrager JB. Non-myasthenia gravis immune syndromes and the thymus: Is there a role for thymectomy? Thorac Surg Clin, 2019, 29(2): 215-225.
2.	Issoufou I, Lakranbi M, Sani R, et al. Neurogenic mediastinal tumors in adults. Rev Pneumol Clin, 2016, 72(5): 310-315.
3.	Jurado J, Javidfar J, Newmark A, et al. Minimally invasive thymectomy and open thymectomy: outcome analysis of 263 patients. Ann Thorac Surg, 2012, 94(3): 974-981.
4.	Friedant AJ, Handorf EA, Su S, et al. Minimally invasive versus open thymectomy for thymic malignancies: systematic review and meta-analysis. J Thorac Oncol, 2016, 11(1): 30-38.
5.	Mehta C, Raparia K, Bharat A. Anterior mediastinal myelolipoma. Ann Thorac Surg, 2017, 103(1): e81.
6.	Maeda S. Minimally Invasive Thoracoscopic surgery for mediastinal lesions. Kyobu Geka, 2016, 69(8): 686-689.
7.	Ng CS, Wong RH, Hsin MK, et al. Recent advances in video-assisted thoracoscopic approach to posterior mediastinal tumours. Surgeon, 2010, 8(5): 280-286.
8.	康云腾, 许世广, 刘博, 等. 纵隔肿物合并重症肌无力的外科治疗: 达芬奇机器人、胸腔镜与胸骨正中切口手术对比研究. 中国胸心血管外科临床杂志, 2018, 25, (12): 1027-1031.
9.	Ishikawa N, Oda M, Kawachi K, et al. Robot-assisted single-port surgery for mediastinal tumors. Surg Today, 2019, 49(1): 96-98.
10.	Mansour DE, Lee ME, D'Souza DM, et al. Robotic resection of ectopic parathyroid glands in the superior posterior mediastinum. J Laparoendosc Adv Surg Tech A, 2019, 29(5): 677-680.
11.	刘通, 王贺双, 许凝. 达芬奇机器人手术系统在胸腺瘤手术中的应用研究进展. 大连医科大学学报, 2019, 41(4): 357-360.
12.	Yoshino I, Hashizume M, Shimada M, et al. Video-assisted thoracoscopic extirpation of a posterior mediastinal mass using the da Vinci computer enhanced surgical system. Ann Thorac Surg, 2002, 74(4): 1235-1237.
13.	Weissenbacher A, Bodner J. Robotic surgery of the mediastinum. Thorac Surg Clin, 2010, 20(2): 331-339.
14.	Castle SL, Kernstine KH. Robotic-assisted thymectomy. Semin Thorac Cardiovasc Surg, 2008, 20(4): 326-331.
15.	Kajiwara N, Kakihana M, Usuda J, et al. Extended indications for robotic surgery for posterior mediastinal tumors. Asian Cardiovasc Thorac Ann, 2012, 20(3): 308-313.
16.	黄佳, 罗清泉, 谭强. 机器人外科手术系统辅助胸腔镜胸腺瘤切除手术一例. 上海医学, 2010, 33(11): 1072.
17.	陈秀, 韩冰, 郭巍, 等. 机器人胸腺扩大切除术治疗重症肌无力. 实用医学杂志, 2010, 26(11): 1997-1999.
18.	王述民, 刘星池, 许世广, 等. 达芬奇机器人在后上纵隔神经源性肿瘤手术中的应用. 中国微创外科杂志, 2015, 15(2): 156-158, 172.
19.	Call S, Obiols C, Rami-Porta R. Present indications of surgical exploration of the mediastinum. J Thorac Dis, 2018, 10(Suppl 22): S2601-S2610.
20.	中国免疫学会神经免疫学分会, 中华医学会神经病学分会神经免疫学组. 中国重症肌无力诊断和治疗专家共识. 中国神经免疫学和神经病学杂志, 2011, 18(5): 368-372.
21.	Fok M, Bashir M, Harky A, et al. Video-assisted thoracoscopic versus robotic-assisted thoracoscopic thymectomy: systematic review and meta-analysis. Innovations (Phila), 2017, 12(4): 259-264.
22.	Kawaguchi K, Fukui T, Nakamura S, et al. A bilateral approach to extended thymectomy using the da Vinci Surgical System for patients with myasthenia gravis. Surg Today, 2018, 48(2): 195-199.
23.	Ooi A, Sibayan M. Uniportal video assisted thoracoscopic surgery thymectomy (right approach). J Vis Surg, 2016, 2: 13.
24.	Rueckert J, Swierzy M, Badakhshi H, et al. Robotic-assisted thymectomy: surgical procedure and results. Thorac Cardiovasc Surg, 2015, 63(3): 194-200.
25.	刘博, 汪明敏, 许世广, 等. 达芬奇机器人纵隔肿瘤切除术的学习曲线. 中国胸心血管外科临床杂志, 2017, 24(2): 127-131.
26.	Marulli G, Maessen J, Melfi F, et al. Multi-institutional European experience of robotic thymectomy for thymoma. Ann Cardiothorac Surg, 2016, 5(1): 18-25.
27.	Fiorelli A, Mazzella A, Cascone R, et al. Bilateral thoracoscopic extended thymectomy versus sternotomy. Asian Cardiovasc Thorac Ann, 2016, 24(6): 555-561.
28.	Argueta AJO, Cañas SRR, Abu Akar F, et al. Subxiphoid approach for a combined right upper lobectomy and thymectomy through a single incision. J Vis Surg, 2017, 3: 101.
29.	Zhang H, Chen L, Zheng Y, et al. Robot-assisted thymectomy via subxiphoid approach: technical details and early outcomes. J Thorac Dis, 2018, 10(3): 1677-1682.
30.	Suda T, Kaneda S, Hachimaru A, et al. Thymectomy via a subxiphoid approach: single-port and robot-assisted. J Thorac Dis, 2016, 8(Suppl 3): S265-S271.
31.	陶绍霖, 康珀铭, 蒋彬, 等. 达芬奇机器人辅助胸腺切除术的早期应用体会. 中国医师杂志, 2017, 19(7): 966-969.
32.	Al-Mufarrej F, Margolis M, Tempesta B, et al. Novel thoracoscopic approach to difficult posterior mediastinal tumors. Gen Thorac Cardiovasc Surg, 2010, 58(12): 636-639.
33.	Cerfolio RJ, Bryant AS, Minnich DJ. Operative techniques in robotic thoracic surgery for inferior or posterior mediastinal pathology. J Thorac Cardiovasc Surg, 2012, 143(5): 1138-1143.
34.	Radkani P, Joshi D, Barot T, et al. Robotic video-assisted thoracoscopy: minimally invasive approach for management of mediastinal tumors. J Robot Surg, 2018, 12(1): 75-79.
35.	Pacchiarotti G, Wang MY, Kolcun JPG, et al. Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity. Neurosurg Focus, 2017, 42(5): E17.
36.	Martinelli SM, Lateef BD, Long JM, et al. Challenges in the anesthetic management for a robotic thymectomy in a patient with myasthenia gravis: A Case Report. A A Case Rep, 2017, 8(9): 222-225.
37.	Pandey R, Garg R, Chandralekha, et al. Robot-assisted thoracoscopic thymectomy: perianaesthetic concerns. Eur J Anaesthesiol, 2010, 27(5): 473-477.
38.	Renaud S, Santelmo N, Renaud M, et al. Robotic-assisted thymectomy with Da VinciⅡversus sternotomy in the surgical treatment of non-thymomatous myasthenia gravis: early results. Rev Neurol (Paris), 2013, 169(1): 30-36.
39.	Campos JH. An update on robotic thoracic surgery and anesthesia. Curr Opin Anaesthesiol, 2010, 23(1): 1-6.
40.	MacIntyre N. Spontaneous breathing during mechanical ventilation: A two-edged sword. Crit Care Med, 2016, 44(8): 1625-1626.
41.	沈啟明, 谭文斐, 许哲, 等. 保留自主呼吸无气管插管麻醉下达芬奇机器人纵隔肿瘤切除术 1 例报告. 中国医科大学学报, 2018, 47(9): 847-849.
42.	王维, 隋波, 李冠华, 等. 达芬奇机器人胸腺瘤切除术的麻醉管理. 中国微创外科杂志, 2011, 11(8): 706-708.
43.	Peer M, Azzam S, Gofman V, et al. Robotic mediastinal surgery in patients with suspected thymic neoplasms: First israeli experience. Isr Med Assoc J, 2018, 20(10): 637-641.
44.	柏启州, 于珺, 苟云久, 等. 达芬奇机器人手术治疗纵隔肿瘤的病例对照研究. 中国胸心血管外科临床杂志, 2018, 25(5): 382-386.
45.	林皓, 黄佳, 罗清泉. 机器人辅助纵隔肿瘤切除术 47 例分析. 中国胸心血管外科临床杂志, 2015, 22(10): 914-918.
46.	Cerfolio R, Louie BE, Farivar AS, et al. Consensus statement on definitions and nomenclature for robotic thoracic surgery. J Thorac Cardiovasc Surg, 2017, 154(3): 1065-1069.
47.	Straughan DM, Fontaine JP, Toloza EM. Robotic-assisted videothoracoscopic mediastinal surgery. Cancer Control, 2015, 22(3): 326-30.
48.	Augustin F, Schmid T, Bodner J. The robotic approach for mediastinal lesions. Int J Med Robot, 2006, 2(3): 262-270.
49.	Kamel MK, Rahouma M, Stiles BM, et al. Robotic thymectomy: learning curve and associated perioperative outcomes. J Laparoendosc Adv Surg Tech A, 2017, 27(7): 685-690.
50.	褚剑, 韩冰, 尹东涛, 等. 机器人胸腺扩大切除术在老年重症肌无力患者中的应用. 中国微创外科杂志, 2013, 13(1): 9-11, 28.
51.	Suda T. Robotic subxiphoid thymectomy. J Vis Surg, 2016, 2: 118.
52.	Jayakumar S, Nardini M, Papoulidis P, et al. Robotic right middle lobectomy with a subxiphoid utility port. Interact Cardiovasc Thorac Surg, 2018, 26(6): 1049-1050.
53.	蒋彬, 康珀铭, 陶绍霖, 等. 机器人与胸腔镜手术治疗前纵隔肿物的近期疗效对比. 第三军医大学学报, 2019, 41(16): 1578-1582.
54.	Nguyen DC, Garagozlo C, Moslemi M, et al. Robotic resection of a superior sulcus neurogenic tumor. Innovations (Phila), 2015, 10(2): 142-145.
55.	Oh JK, Yang MS, Yoon DH, et al. Robotic resection of huge presacral tumors: case series and comparison with an open resection. J Spinal Disord Tech, 2014, 27(4): E151-E154.
56.	Zirafa CC, Romano G, Key TH, et al. The evolution of robotic thoracic surgery. Ann Cardiothorac Surg, 2019, 8(2): 210-217.
57.	O'Sullivan KE, Kreaden US, Hebert AE, et al. A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy. Ann Cardiothorac Surg, 2019, 8(2): 174-193.
58.	Hamdi S, Mercier O, Fadel E, et al. Is sacrifying the phrenic nerve during thymoma resection worthwhile? Eur J Cardiothorac Surg, 2014, 45(5): e151-e155.
59.	Caronia FP, Arrigo E, Trovato S, et al. Uniportal bilateral video-assisted sequential thoracoscopic extended thymectomy. J Vis Surg, 2017, 3: 69.
60.	Wang KR, Liu FF, Zhou YF. Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report. Medicine (Baltimore), 2019, 98(26): e16252.
61.	Freeman RK, Ascioti AJ, Van Woerkom JM, et al. Long-term follow-up after robotic thymectomy for nonthymomatous myasthenia gravis. Ann Thorac Surg, 2011, 92(3): 1018-1022.
62.	Cerfolio RJ, Bess KM, Wei B, et al. Incidence, results, and our current intraoperative technique to control major vascular injuries during minimally invasive robotic thoracic surgery. Ann Thorac Surg, 2016, 102(2): 394-399.
63.	张含露, 刘伦旭, 陈龙奇, 等. 机器人辅助经剑突下胸腺 (扩大) 切除手术的临床应用. 中国胸心血管外科临床杂志, 2017, 24(10): 743-747.
64.	Marulli G, Comacchio GM, Rea F. Robotic thymectomy. J Vis Surg, 2017, 3: 68.
65.	Buentzel J, Heinz J, Hinterthaner M, et al. Robotic versus thoracoscopic thymectomy: The current evidence. Int J Med Robot, 2017, 13(4): e1847.
66.	Wolfe GI, Kaminski HJ, Aban IB, et al. Randomized trial of thymectomy in myasthenia gravis. N Engl J Med, 2016, 375(6): 511-522.
67.	Aydin Y, Ulas AB, Mutlu V, et al. Thymectomy in myasthenia gravis. Eurasian J Med, 2017, 49(1): 48-52.
68.	de Perrot M, McRae K. Evidence for thymectomy in myasthenia gravis: Getting stronger? J Thorac Cardiovasc Surg, 2017, 154(1): 314-316.
69.	Mussi A, Fanucchi O, Davini F, et al. Robotic extended thymectomy for early-stage thymomas. Eur J Cardiothorac Surg, 2012, 41(4): e43-e46.
70.	Ishibashi H, Takasaki C, Akashi T, et al. Successful excision of epithelioid hemangioendothelioma of the superior vena cava. Ann Thorac Surg, 2019: doi: 10.1016/j.athoracsur.2019.07.027.[Epub ahead of print.
71.	Xu S, Ding R, Liu B, et al. Technical highlights of robotic-assisted mediastinal tumor resection. Ann Transl Med, 2015, 3(6): 84.
72.	Adachi K, Nemoto M, Enatsu K. A bulky posterior mediastinal tumor. gastroenterology, 2016, 150(4): e9-e11.
73.	Amore D, Cicalese M, Scaramuzzi R, et al. Hybrid robotic thoracic surgery for excision of large mediastinal masses. J Vis Surg, 2018, 4: 105.
74.	Yang C, Zhao D, Zhang P, et al. Intrathoracic neurogenic tumor with malignant transition-20 years operation experience in a medical center of China. Neurosci Lett, 2017, 637: 195-200.
75.	Chen X, Ma Q, Wang S, et al. Surgical treatment of posterior mediastinal neurogenic tumors. J Surg Oncol, 2019, 119(6): 807-813.
76.	Kocaturk CI, Sezen CB, Aker C, et al. Surgical approach to posterior mediastinal lesions and long-term outcomes. Asian Cardiovasc Thorac Ann, 2017, 25(4): 287-291.
77.	Weksler B, Holden A, Sullivan JL. Impact of positive nodal metastases in patients with thymic carcinoma and thymic neuroendocrine tumors. J Thorac Oncol, 2015, 10(11): 1642-1647.
78.	Yang Y, Fan XW, Wang HB, et al. Stage Ⅳb thymic carcinoma: patients with lymph node metastases have better prognoses than those with hematogenous metastases. BMC Cancer, 2017, 17(1): 217.
79.	Gu Z, Wei Y, Fu J, et al. Lymph node metastases in thymic malignancies: a Chinese Alliance for Research in Thymomas retrospective database analysis. Interact Cardiovasc Thorac Surg, 2017, 25(3): 455-461.
80.	Fang W, Wang Y, Pang L, et al. Lymph node metastasis in thymic malignancies: A Chinese multicenter prospective observational study. J Thorac Cardiovasc Surg, 2018, 156(2): 824-833.
81.	Kondo K, Van Schil P, Detterbeck FC, et al. The IASLC/ITMIG Thymic Epithelial Tumors Staging Project: proposals for the N and M components for the forthcoming (8th) edition of the TNM classification of malignant tumors. J Thorac Oncol, 2014, 9(9 Suppl 2): S81-S87.
82.	Detterbeck FC, Moran C, Huang J, et al. Which way is up? Policies and procedures for surgeons and pathologists regarding resection specimens of thymic malignancy. Zhongguo Fei Ai Za Zhi, 2014, 17(2): 95-103.
83.	Wang H, Gu Z, Ding J, et al. Perioperative outcomes and long-term survival in clinically early-stage thymic malignancies: video-assisted thoracoscopic thymectomy versus open approaches. J Thorac Dis, 2016, 8(4): 673-679.
84.	中国免疫学会神经免疫学分会, 中华医学会神经病学分会神经免疫学组. 重症肌无力诊段和治疗中国专家共识. 中国神经免疫学和神经病学杂志, 2012, 19(6): 401-408.
85.	Ricciardi S, Zirafa CC, Davini F, et al. How to get the best from robotic thoracic surgery. J Thorac Dis, 2018, 10(Suppl 8): S947-S950.

1. Wightman SC, Shrager JB. Non-myasthenia gravis immune syndromes and the thymus: Is there a role for thymectomy? Thorac Surg Clin, 2019, 29(2): 215-225.
2. Issoufou I, Lakranbi M, Sani R, et al. Neurogenic mediastinal tumors in adults. Rev Pneumol Clin, 2016, 72(5): 310-315.
3. Jurado J, Javidfar J, Newmark A, et al. Minimally invasive thymectomy and open thymectomy: outcome analysis of 263 patients. Ann Thorac Surg, 2012, 94(3): 974-981.
4. Friedant AJ, Handorf EA, Su S, et al. Minimally invasive versus open thymectomy for thymic malignancies: systematic review and meta-analysis. J Thorac Oncol, 2016, 11(1): 30-38.
5. Mehta C, Raparia K, Bharat A. Anterior mediastinal myelolipoma. Ann Thorac Surg, 2017, 103(1): e81.
6. Maeda S. Minimally Invasive Thoracoscopic surgery for mediastinal lesions. Kyobu Geka, 2016, 69(8): 686-689.
7. Ng CS, Wong RH, Hsin MK, et al. Recent advances in video-assisted thoracoscopic approach to posterior mediastinal tumours. Surgeon, 2010, 8(5): 280-286.
8. 康云腾, 许世广, 刘博, 等. 纵隔肿物合并重症肌无力的外科治疗: 达芬奇机器人、胸腔镜与胸骨正中切口手术对比研究. 中国胸心血管外科临床杂志, 2018, 25, (12): 1027-1031.
9. Ishikawa N, Oda M, Kawachi K, et al. Robot-assisted single-port surgery for mediastinal tumors. Surg Today, 2019, 49(1): 96-98.
10. Mansour DE, Lee ME, D'Souza DM, et al. Robotic resection of ectopic parathyroid glands in the superior posterior mediastinum. J Laparoendosc Adv Surg Tech A, 2019, 29(5): 677-680.
11. 刘通, 王贺双, 许凝. 达芬奇机器人手术系统在胸腺瘤手术中的应用研究进展. 大连医科大学学报, 2019, 41(4): 357-360.
12. Yoshino I, Hashizume M, Shimada M, et al. Video-assisted thoracoscopic extirpation of a posterior mediastinal mass using the da Vinci computer enhanced surgical system. Ann Thorac Surg, 2002, 74(4): 1235-1237.
13. Weissenbacher A, Bodner J. Robotic surgery of the mediastinum. Thorac Surg Clin, 2010, 20(2): 331-339.
14. Castle SL, Kernstine KH. Robotic-assisted thymectomy. Semin Thorac Cardiovasc Surg, 2008, 20(4): 326-331.
15. Kajiwara N, Kakihana M, Usuda J, et al. Extended indications for robotic surgery for posterior mediastinal tumors. Asian Cardiovasc Thorac Ann, 2012, 20(3): 308-313.
16. 黄佳, 罗清泉, 谭强. 机器人外科手术系统辅助胸腔镜胸腺瘤切除手术一例. 上海医学, 2010, 33(11): 1072.
17. 陈秀, 韩冰, 郭巍, 等. 机器人胸腺扩大切除术治疗重症肌无力. 实用医学杂志, 2010, 26(11): 1997-1999.
18. 王述民, 刘星池, 许世广, 等. 达芬奇机器人在后上纵隔神经源性肿瘤手术中的应用. 中国微创外科杂志, 2015, 15(2): 156-158, 172.
19. Call S, Obiols C, Rami-Porta R. Present indications of surgical exploration of the mediastinum. J Thorac Dis, 2018, 10(Suppl 22): S2601-S2610.
20. 中国免疫学会神经免疫学分会, 中华医学会神经病学分会神经免疫学组. 中国重症肌无力诊断和治疗专家共识. 中国神经免疫学和神经病学杂志, 2011, 18(5): 368-372.
21. Fok M, Bashir M, Harky A, et al. Video-assisted thoracoscopic versus robotic-assisted thoracoscopic thymectomy: systematic review and meta-analysis. Innovations (Phila), 2017, 12(4): 259-264.
22. Kawaguchi K, Fukui T, Nakamura S, et al. A bilateral approach to extended thymectomy using the da Vinci Surgical System for patients with myasthenia gravis. Surg Today, 2018, 48(2): 195-199.
23. Ooi A, Sibayan M. Uniportal video assisted thoracoscopic surgery thymectomy (right approach). J Vis Surg, 2016, 2: 13.
24. Rueckert J, Swierzy M, Badakhshi H, et al. Robotic-assisted thymectomy: surgical procedure and results. Thorac Cardiovasc Surg, 2015, 63(3): 194-200.
25. 刘博, 汪明敏, 许世广, 等. 达芬奇机器人纵隔肿瘤切除术的学习曲线. 中国胸心血管外科临床杂志, 2017, 24(2): 127-131.
26. Marulli G, Maessen J, Melfi F, et al. Multi-institutional European experience of robotic thymectomy for thymoma. Ann Cardiothorac Surg, 2016, 5(1): 18-25.
27. Fiorelli A, Mazzella A, Cascone R, et al. Bilateral thoracoscopic extended thymectomy versus sternotomy. Asian Cardiovasc Thorac Ann, 2016, 24(6): 555-561.
28. Argueta AJO, Cañas SRR, Abu Akar F, et al. Subxiphoid approach for a combined right upper lobectomy and thymectomy through a single incision. J Vis Surg, 2017, 3: 101.
29. Zhang H, Chen L, Zheng Y, et al. Robot-assisted thymectomy via subxiphoid approach: technical details and early outcomes. J Thorac Dis, 2018, 10(3): 1677-1682.
30. Suda T, Kaneda S, Hachimaru A, et al. Thymectomy via a subxiphoid approach: single-port and robot-assisted. J Thorac Dis, 2016, 8(Suppl 3): S265-S271.
31. 陶绍霖, 康珀铭, 蒋彬, 等. 达芬奇机器人辅助胸腺切除术的早期应用体会. 中国医师杂志, 2017, 19(7): 966-969.
32. Al-Mufarrej F, Margolis M, Tempesta B, et al. Novel thoracoscopic approach to difficult posterior mediastinal tumors. Gen Thorac Cardiovasc Surg, 2010, 58(12): 636-639.
33. Cerfolio RJ, Bryant AS, Minnich DJ. Operative techniques in robotic thoracic surgery for inferior or posterior mediastinal pathology. J Thorac Cardiovasc Surg, 2012, 143(5): 1138-1143.
34. Radkani P, Joshi D, Barot T, et al. Robotic video-assisted thoracoscopy: minimally invasive approach for management of mediastinal tumors. J Robot Surg, 2018, 12(1): 75-79.
35. Pacchiarotti G, Wang MY, Kolcun JPG, et al. Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity. Neurosurg Focus, 2017, 42(5): E17.
36. Martinelli SM, Lateef BD, Long JM, et al. Challenges in the anesthetic management for a robotic thymectomy in a patient with myasthenia gravis: A Case Report. A A Case Rep, 2017, 8(9): 222-225.
37. Pandey R, Garg R, Chandralekha, et al. Robot-assisted thoracoscopic thymectomy: perianaesthetic concerns. Eur J Anaesthesiol, 2010, 27(5): 473-477.
38. Renaud S, Santelmo N, Renaud M, et al. Robotic-assisted thymectomy with Da VinciⅡversus sternotomy in the surgical treatment of non-thymomatous myasthenia gravis: early results. Rev Neurol (Paris), 2013, 169(1): 30-36.
39. Campos JH. An update on robotic thoracic surgery and anesthesia. Curr Opin Anaesthesiol, 2010, 23(1): 1-6.
40. MacIntyre N. Spontaneous breathing during mechanical ventilation: A two-edged sword. Crit Care Med, 2016, 44(8): 1625-1626.
41. 沈啟明, 谭文斐, 许哲, 等. 保留自主呼吸无气管插管麻醉下达芬奇机器人纵隔肿瘤切除术 1 例报告. 中国医科大学学报, 2018, 47(9): 847-849.
42. 王维, 隋波, 李冠华, 等. 达芬奇机器人胸腺瘤切除术的麻醉管理. 中国微创外科杂志, 2011, 11(8): 706-708.
43. Peer M, Azzam S, Gofman V, et al. Robotic mediastinal surgery in patients with suspected thymic neoplasms: First israeli experience. Isr Med Assoc J, 2018, 20(10): 637-641.
44. 柏启州, 于珺, 苟云久, 等. 达芬奇机器人手术治疗纵隔肿瘤的病例对照研究. 中国胸心血管外科临床杂志, 2018, 25(5): 382-386.
45. 林皓, 黄佳, 罗清泉. 机器人辅助纵隔肿瘤切除术 47 例分析. 中国胸心血管外科临床杂志, 2015, 22(10): 914-918.
46. Cerfolio R, Louie BE, Farivar AS, et al. Consensus statement on definitions and nomenclature for robotic thoracic surgery. J Thorac Cardiovasc Surg, 2017, 154(3): 1065-1069.
47. Straughan DM, Fontaine JP, Toloza EM. Robotic-assisted videothoracoscopic mediastinal surgery. Cancer Control, 2015, 22(3): 326-30.
48. Augustin F, Schmid T, Bodner J. The robotic approach for mediastinal lesions. Int J Med Robot, 2006, 2(3): 262-270.
49. Kamel MK, Rahouma M, Stiles BM, et al. Robotic thymectomy: learning curve and associated perioperative outcomes. J Laparoendosc Adv Surg Tech A, 2017, 27(7): 685-690.
50. 褚剑, 韩冰, 尹东涛, 等. 机器人胸腺扩大切除术在老年重症肌无力患者中的应用. 中国微创外科杂志, 2013, 13(1): 9-11, 28.
51. Suda T. Robotic subxiphoid thymectomy. J Vis Surg, 2016, 2: 118.
52. Jayakumar S, Nardini M, Papoulidis P, et al. Robotic right middle lobectomy with a subxiphoid utility port. Interact Cardiovasc Thorac Surg, 2018, 26(6): 1049-1050.
53. 蒋彬, 康珀铭, 陶绍霖, 等. 机器人与胸腔镜手术治疗前纵隔肿物的近期疗效对比. 第三军医大学学报, 2019, 41(16): 1578-1582.
54. Nguyen DC, Garagozlo C, Moslemi M, et al. Robotic resection of a superior sulcus neurogenic tumor. Innovations (Phila), 2015, 10(2): 142-145.
55. Oh JK, Yang MS, Yoon DH, et al. Robotic resection of huge presacral tumors: case series and comparison with an open resection. J Spinal Disord Tech, 2014, 27(4): E151-E154.
56. Zirafa CC, Romano G, Key TH, et al. The evolution of robotic thoracic surgery. Ann Cardiothorac Surg, 2019, 8(2): 210-217.
57. O'Sullivan KE, Kreaden US, Hebert AE, et al. A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy. Ann Cardiothorac Surg, 2019, 8(2): 174-193.
58. Hamdi S, Mercier O, Fadel E, et al. Is sacrifying the phrenic nerve during thymoma resection worthwhile? Eur J Cardiothorac Surg, 2014, 45(5): e151-e155.
59. Caronia FP, Arrigo E, Trovato S, et al. Uniportal bilateral video-assisted sequential thoracoscopic extended thymectomy. J Vis Surg, 2017, 3: 69.
60. Wang KR, Liu FF, Zhou YF. Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report. Medicine (Baltimore), 2019, 98(26): e16252.
61. Freeman RK, Ascioti AJ, Van Woerkom JM, et al. Long-term follow-up after robotic thymectomy for nonthymomatous myasthenia gravis. Ann Thorac Surg, 2011, 92(3): 1018-1022.
62. Cerfolio RJ, Bess KM, Wei B, et al. Incidence, results, and our current intraoperative technique to control major vascular injuries during minimally invasive robotic thoracic surgery. Ann Thorac Surg, 2016, 102(2): 394-399.
63. 张含露, 刘伦旭, 陈龙奇, 等. 机器人辅助经剑突下胸腺 (扩大) 切除手术的临床应用. 中国胸心血管外科临床杂志, 2017, 24(10): 743-747.
64. Marulli G, Comacchio GM, Rea F. Robotic thymectomy. J Vis Surg, 2017, 3: 68.
65. Buentzel J, Heinz J, Hinterthaner M, et al. Robotic versus thoracoscopic thymectomy: The current evidence. Int J Med Robot, 2017, 13(4): e1847.
66. Wolfe GI, Kaminski HJ, Aban IB, et al. Randomized trial of thymectomy in myasthenia gravis. N Engl J Med, 2016, 375(6): 511-522.
67. Aydin Y, Ulas AB, Mutlu V, et al. Thymectomy in myasthenia gravis. Eurasian J Med, 2017, 49(1): 48-52.
68. de Perrot M, McRae K. Evidence for thymectomy in myasthenia gravis: Getting stronger? J Thorac Cardiovasc Surg, 2017, 154(1): 314-316.
69. Mussi A, Fanucchi O, Davini F, et al. Robotic extended thymectomy for early-stage thymomas. Eur J Cardiothorac Surg, 2012, 41(4): e43-e46.
70. Ishibashi H, Takasaki C, Akashi T, et al. Successful excision of epithelioid hemangioendothelioma of the superior vena cava. Ann Thorac Surg, 2019: doi: 10.1016/j.athoracsur.2019.07.027.[Epub ahead of print.
71. Xu S, Ding R, Liu B, et al. Technical highlights of robotic-assisted mediastinal tumor resection. Ann Transl Med, 2015, 3(6): 84.
72. Adachi K, Nemoto M, Enatsu K. A bulky posterior mediastinal tumor. gastroenterology, 2016, 150(4): e9-e11.
73. Amore D, Cicalese M, Scaramuzzi R, et al. Hybrid robotic thoracic surgery for excision of large mediastinal masses. J Vis Surg, 2018, 4: 105.
74. Yang C, Zhao D, Zhang P, et al. Intrathoracic neurogenic tumor with malignant transition-20 years operation experience in a medical center of China. Neurosci Lett, 2017, 637: 195-200.
75. Chen X, Ma Q, Wang S, et al. Surgical treatment of posterior mediastinal neurogenic tumors. J Surg Oncol, 2019, 119(6): 807-813.
76. Kocaturk CI, Sezen CB, Aker C, et al. Surgical approach to posterior mediastinal lesions and long-term outcomes. Asian Cardiovasc Thorac Ann, 2017, 25(4): 287-291.
77. Weksler B, Holden A, Sullivan JL. Impact of positive nodal metastases in patients with thymic carcinoma and thymic neuroendocrine tumors. J Thorac Oncol, 2015, 10(11): 1642-1647.
78. Yang Y, Fan XW, Wang HB, et al. Stage Ⅳb thymic carcinoma: patients with lymph node metastases have better prognoses than those with hematogenous metastases. BMC Cancer, 2017, 17(1): 217.
79. Gu Z, Wei Y, Fu J, et al. Lymph node metastases in thymic malignancies: a Chinese Alliance for Research in Thymomas retrospective database analysis. Interact Cardiovasc Thorac Surg, 2017, 25(3): 455-461.
80. Fang W, Wang Y, Pang L, et al. Lymph node metastasis in thymic malignancies: A Chinese multicenter prospective observational study. J Thorac Cardiovasc Surg, 2018, 156(2): 824-833.
81. Kondo K, Van Schil P, Detterbeck FC, et al. The IASLC/ITMIG Thymic Epithelial Tumors Staging Project: proposals for the N and M components for the forthcoming (8th) edition of the TNM classification of malignant tumors. J Thorac Oncol, 2014, 9(9 Suppl 2): S81-S87.
82. Detterbeck FC, Moran C, Huang J, et al. Which way is up? Policies and procedures for surgeons and pathologists regarding resection specimens of thymic malignancy. Zhongguo Fei Ai Za Zhi, 2014, 17(2): 95-103.
83. Wang H, Gu Z, Ding J, et al. Perioperative outcomes and long-term survival in clinically early-stage thymic malignancies: video-assisted thoracoscopic thymectomy versus open approaches. J Thorac Dis, 2016, 8(4): 673-679.
84. 中国免疫学会神经免疫学分会, 中华医学会神经病学分会神经免疫学组. 重症肌无力诊段和治疗中国专家共识. 中国神经免疫学和神经病学杂志, 2012, 19(6): 401-408.
85. Ricciardi S, Zirafa CC, Davini F, et al. How to get the best from robotic thoracic surgery. J Thorac Dis, 2018, 10(Suppl 8): S947-S950.

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