Journal of visualized surgery
Initial outcomes of subxiphoid uniportal robotic thymectomy using the da Vinci Xi system
By Tochii D, Negi T, Tochii S and 1 others.
Abstract
Background
Thymectomy for anterior mediastinal tumors is commonly performed using thoracoscopic surgery or robotic-assisted surgery. Subxiphoid uniportal robotic thymectomy (SURT) using the da Vinci Xi system was introduced to combine the minimal invasiveness of a uniportal approach with the superior operability offered by robotic-assisted surgery. This study aimed to evaluate the safety and feasibility of SURT for anterior mediastinal tumors by reporting our initial results.
Methods
This retrospective, single-center observational study included 22 patients who underwent SURT at Fujita Health University Okazaki Medical Center between March 2022 and September 2025. Surgeries were performed using either the parallel or cross methods, and initial outcomes were compared between the groups.