Robotic assisted minimally invasive thymectomy with simultaneous bilateral thoracoscopy and contralateral phrenic nerve visualization

Near-infrared fluorescence imaging can help identify the contralateral phrenic nerve during robotic thymectomy.

PURPOSE Unilateral robotic thymectomy is gaining popularity. Identifying the contralateral phrenic nerve is a key limitation to achieving maximal thymic tissue resection. We evaluated the feasibility and technique of fluorescence imaging on the daVinci-Si robot (Intuitive Surgical Inc, Sunnyvale, CA) to identify the contralateral periocardiophrenic neurovascular bundle (PNB). DESCRIPTION A un...

Minimally invasive radical thymectomy.

We present the case of a 54-year-old female with longstanding history of myasthenia gravis, on whom an anti ACH antibody test was positive. We performed a minimally invasive video-assisted thoracoscopic thymectomy (VATS) on this patient. Preoperatively, the patient was stabilized with intravenous immunoglobulin (IVIG) and Mestinon (Pyridostigmine). The pre-operative workup included a computed t...

Single stage minimally invasive bilateral video assisted thoracoscopic surgery for simultaneous bilateral primary spontaneous pneumothorax.

Simultaneous bilateral spontaneous pneumothorax (SBSP) is a very rare life-threatening condition that requires rapid diagnosis and treatment. Most cases are secondary to various underlying lung pathology but a primary SBSP may occur due to rupture of subpleural blebs or bullae. Surgery via an open or minimally invasive approach provides definitive treatment and can be undertaken as a staged or ...

robotic assisted minimally invasive surgery, a novel innovation in surgery

Minimally Invasive Surgery: Laparoscopy and Thoracoscopy

Minimally invasive surgery (MIS) allows diagnostic and/or therapeutic surgical procedures to be performed using very small incisions through which a camera and instruments are placed inside body cavities. We can visualise a magnified high quality image of the interior of these body cavities and joints using a highresolution monitor. Video-assisted surgery (VAS) is a surgical modality halfway be...