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Current Trends in Thoracic Surgery
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Current Trends in Thoracic Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Pulmonology".

Deadline for manuscript submissions: closed (25 March 2024) | Viewed by 665

Special Issue Editor

Dr. Edward J Caruana

E-Mail Website1 Website2
Guest Editor
Thoracic Surgery, Glenfield Hospital, Leicester LE3 9QP, UK
Interests: pneumothorax; emphysema; diaphragm dysfunction; advanced lung cancer; pain; surgical education

Special Issue Information

Dear Colleagues,

The Special Issue "Current Therapy in Thoracic Surgery" is a collection of articles that seeks to highlight the latest trends in the field of thoracic surgery and the evidence underpinning them. It aims to inform and challenge decisions in current clinical practice across the breadth of our specialty.

The issue welcomes a wide range of topics related to the diagnosis, treatment and management of thoracic surgical disease in contemporary and emerging practice. This includes benign and malignant disease, perioperative care, trauma, patient-important outcomes and surgical education.

Submissions of original research and literature synthesis are welcome.

Sincerely,

Dr. Edward J Caruana
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • thoracic surgery
  • thoracic surgical oncology
  • perioperative care
  • thoracic trauma
  • patient-important outcomes
  • surgical education and training

Published Papers (1 paper)

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Research

12 pages, 1114 KiB  
Article
Ergonomic Assessment of Robotic versus Thoracoscopic Thymectomy
by Riccardo Taje, Michael Peer, Filippo Tommaso Gallina, Vincenzo Ambrogi, Azzam Sharbel, Enrico Melis, Stefano Elia, Matot Idit, Francesco Facciolo, Alexandro Patirelis, Roberto Sorge and Eugenio Pompeo
J. Clin. Med. 2024, 13(7), 1841; https://doi.org/10.3390/jcm13071841 - 22 Mar 2024
Viewed by 439
Abstract
Introduction: Robotic and thoracoscopic surgery are being increasingly adopted as minimally invasive alternatives to open sternotomy for complete thymectomy. The superior maneuverability range and three-dimensional magnified vision are potential ergonomical advantages of robotic surgery. To compare the ergonomic characteristics of robotic versus [...] Read more.
Introduction: Robotic and thoracoscopic surgery are being increasingly adopted as minimally invasive alternatives to open sternotomy for complete thymectomy. The superior maneuverability range and three-dimensional magnified vision are potential ergonomical advantages of robotic surgery. To compare the ergonomic characteristics of robotic versus thoracoscopic thymectomy, a previously developed scoring system based on impartial findings was employed. The relationship between ergonomic scores and perioperative endpoints was also analyzed. Methods: Perioperative data of patients undergoing robotic or thoracoscopic complete thymectomy between January 2014 and December 2022 at three institutions were retrospectively retrieved. Surgical procedures were divided into four standardized surgical steps: lower-horns, upper-horns, thymic veins and peri-thymic fat dissection. Three ergonomic domains including maneuverability, exposure and instrumentation were scored as excellent(score-3), satisfactory(score-2) and unsatisfactory(score-1) by three independent reviewers. Propensity score matching (2:1) was performed, including anterior mediastinal tumors only. The primary endpoint was the total maneuverability score. Secondary endpoints included the other ergonomic domain scores, intraoperative adverse events, conversion to sternotomy, operative time, post-operative complications and residual disease. Results: A total of 68 robotic and 34 thoracoscopic thymectomies were included after propensity score matching. The robotic group had a higher total maneuverability score (p = 0.039), particularly in the peri-thymic fat dissection (p = 0.003) and peri-thymic fat exposure score (p = 0.027). Moreover, the robotic group had lower intraoperative adverse events (p = 0.02). No differences were found in residual disease. Conclusions: Robotic thymectomy has shown better ergonomic maneuverability compared to thoracoscopy, leading to fewer intraoperative adverse events and comparable early oncological results. Full article
(This article belongs to the Special Issue Current Trends in Thoracic Surgery)
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