2023 World Conference on Lung Cancer (Posters)-EP14.02. Open Versus Video-Assisted and Robotic-Assisted Thymectomy for the Treatment of Thymic Neoplasms

EP14.02. Open Versus Video-Assisted and Robotic-Assisted Thymectomy for the Treatment of Thymic Neoplasms - PDF(Abstract)

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A recent study compared different surgical approaches for the treatment of thymic neoplasms, including thymomas, thymic carcinomas, and thymic neuroendocrine tumors. The study included a systematic review and network meta-analysis of 54 cohort studies, involving 6,650 patients. The surgical approaches compared were open thymectomy, video-assisted thymectomy (VATS), and robotic-assisted thymectomy (RATS).<br /><br />The results showed that patients who underwent RATS thymectomy had a shorter length of stay compared to those who underwent open thymectomy. There was no significant difference in length of stay between RATS thymectomy and VATS thymectomy. RATS thymectomy also had a lower rate of conversions compared to VATS thymectomy.<br /><br />In terms of outcomes, patients who underwent RATS thymectomy had lower 30-day mortality rates compared to those who underwent open thymectomy. There was no significant difference in 30-day mortality rates between RATS thymectomy and VATS thymectomy. RATS thymectomy was also associated with lower recurrence rates compared to open thymectomy, with no significant difference in recurrence rates compared to VATS thymectomy.<br /><br />Furthermore, patients who underwent RATS thymectomy had a lower risk of experiencing complications compared to those who underwent open thymectomy, with no significant difference in complication rates compared to VATS thymectomy.<br /><br />The study concluded that RATS thymectomy was associated with lower conversion rates, lower 30-day mortality rates, lower complication rates, and shorter length of stay compared to open thymectomy. However, it found no significant differences between RATS thymectomy and VATS thymectomy in terms of these outcomes.<br /><br />The study also highlighted the need for future studies to control for clinically relevant variables and reduce the risk of selection bias. Overall, these findings suggest that minimally invasive approaches, such as VATS and RATS, may be preferred over open thymectomy for the surgical management of thymic neoplasms.

Asset Subtitle

Bright Huo

Meta Tag

Speaker Bright Huo

Topic Thymic Malignancy

Keywords

surgical approaches

thymic neoplasms

open thymectomy

video-assisted thymectomy

VATS

robotic-assisted thymectomy

RATS

30-day mortality rates

complication rates

minimally invasive approaches