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  • Title
  • Animation
  • 1. Introduction
  • 2. Placement of Ports
  • 3. Robot Docking
  • 4. Pericardial Fat Clearing and Exposure of the Thymus and Left Phrenic Nerve
  • 5. Left Phrenic Nerve Mobilization
  • 6. Clear Tissue from Pericardium and Visualize Innominate Vein
  • 7. Mobilization of the Innominate Vein and Division of Branches to the Thymus
  • 8. Dissection of Thymic Poles
  • 9. Dissection Along the Right Phrenic Nerve to the SVC
  • 10. Removal of Specimen, Hemostasis, and Robot Undocking
  • 11. A Note on Anesthesia with Myasthenia Gravis

Article type:Descriptions of Clinical and Surgical Procedures

Robotic Thymectomy for Myasthenia Gravis

4697 views

Constantine M. Poulos, MD1; Tong-Yan Chen, MD2; Lana Schumacher, MD, MS, FACS1
1Tufts Medical Center
2Massachusetts General Hospital

Thoracic Surgery

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Placement of Ports
      1. 3. Robot Docking
        1. 4. Pericardial Fat Clearing and Exposure of the Thymus and Left Phrenic Nerve
          1. 5. Left Phrenic Nerve Mobilization
            1. 6. Clear Tissue from Pericardium and Visualize Innominate Vein
              1. 7. Mobilization of the Innominate Vein and Division of Branches to the Thymus
                1. 8. Dissection of Thymic Poles
                  1. 9. Dissection Along the Right Phrenic Nerve to the SVC
                    1. 10. Removal of Specimen, Hemostasis, and Robot Undocking

                      1. Introduction

                      2. Placement of Ports

                      3. Robot Docking

                      4. Pericardial Fat Clearing and Exposure of the Thymus and Left Phrenic Nerve

                      5. Left Phrenic Nerve Mobilization

                      6. Clear Tissue from Pericardium and Visualize Innominate Vein

                      7. Mobilization of the Innominate Vein and Division of Branches to the Thymus

                      8. Dissection of Thymic Poles

                      1. Further Mobilization of the Innominate Vein and Division of Branches to the Thymus
                      2. Visualization of Right Phrenic Nerve and Freeing the Pleura off of it
                      3. Continue Mobilization of the Innominate Vein and Division of Branches to the Thymus

                      9. Dissection Along the Right Phrenic Nerve to the SVC

                      10. Removal of Specimen, Hemostasis, and Robot Undocking

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                      Authors

                      Filmed At:

                      Massachusetts General Hospital

                      Article Information

                      Publication Date
                      Article ID426
                      Production ID0426
                      Volume2024
                      Issue426
                      DOI
                      https://doi.org/10.24296/jomi/426