Related Experiment Video
Updated: May 29, 2025

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
Published on: May 4, 2022
[Robotic and thoracoscopic surgeries for anterior mediastinal neoplasms]
Z A Bagatelia1,2, V D Parshin1,2, D N Grekov1,2
1Botkin Moscow City Clinical Hospital, Moscow, Russia.
Objective:
To evaluate the efficacy and safety of robot-assisted (RATS) and video-assisted thoracoscopic (VTS) minimally invasive surgeries for anterior mediastinal neoplasms.
Material And Methods:
The study involved 74 patients who underwent surgeries for anterior mediastinal neoplasms between 2020 and 2023. Patients were divided into two groups: group 1 (RATS, 33 patients) and group 2 (VTS, 41 patients). The following parameters were evaluated: surgery time, incidence of postoperative complications, pain syndrome and recovery time.
Results:
Duration of RATS was significantly shorter (mean 120 min) compared to VTS (140 min) (p< 0.05). Postoperative pain was also lower in the RATS group (4.5 vs. 6.0 points) (p< 0.05). The incidence of complications was lower in the same group that contributed to earlier recovery.
Conclusion:
Robot-assisted surgeries are preferable for anterior mediastinal tumors. The advantages of RATS include shorter surgery time, lower pain and complication rate. Thus, this approach is more advisable in high-risk patients.

