Robotic Thymectomy Using the Single-Port Robotic System via the Subxiphoid Approach

Technological advances have led to significant progress in minimally invasive surgery in the field of general thoracic surgery. Thymectomy, which has traditionally been performed via an open approach through a median sternotomy, is now entering a new era because of the advantages offered by robot-assisted thoracic surgery. Robotic thymectomy using the single-port robotic system via the subxiphoid approach has recently been introduced. This innovative technique offers several potential benefits, including reduced postoperative pain, faster recovery, and improved cosmetic outcomes. However, it can be technically challenging during the early phase, especially for less experienced robotic surgeons. In this study, we present our surgical technique in detail, providing tips and highlighting potential pitfalls to aid in overcoming these technical challenges.