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Updated: Jun 16, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Thoracoscopic robot-assisted extended thymectomy in the human cadaver
Norihiko Ishikawa1, You Su Sun, L Wiley Nifong
1Center for Robotics and Minimally Invasive Surgery, Brody School of Medicine at East Carolina University, 600 Moye Blvd -LSB248, Greenville, NC 27858, USA. nori-i@mnx.jp
Methods:
Thoracoscopic robot-assisted extended thymectomy was performed in a human cadaver. The technique utilized the da Vinci surgical system inserted through the subxiphoid approach with the sternum lifted upward (anteriorly). A small subxiphoid incision and two additional thoracoports were made in the chest wall, and the sternum was lifted by a new lifting retractor system.
Results:
This method provided sufficient view and working space in the anterior mediastinum. A complete thymectomy was performed with facility. The robotic system provides superior optics and allows for enhanced dexterity.
Conclusions:
Minimally invasive robotic-assisted thymectomy is an effective procedure and may add benefits for both surgeon and patients.
