What question did this study set out to answer?

This research aims to detail a technique for performing robotic thymectomy with SVC resection.

May 10, 2026European Journal of Cardio-Thoracic Surgery0 citations

Subxiphoid Robotic Thymectomy with Superior Vena Cava Resection

TSTakashi SudaOkazaki Institute for Integrative Bioscience MMMizuki MorotaFujita Health University TNTakahiro NegiFujita Health University

Key Points

This research aims to detail a technique for performing robotic thymectomy with SVC resection.
The surgical procedure involved a subxiphoid incision and en bloc excision of the tumour, SVC, thymus, pericardium, and part of the right lung.
Blood infusion and drainage were managed through cannulas in the left internal jugular and left femoral veins, respectively.
SVC reconstruction was limited to the right brachiocephalic–SVC anastomosis.
Subxiphoid robotic thymectomy with SVC resection was successfully performed, allowing for procedures previously limited to open surgery.
The technique utilized a novel blood-circulation method during SVC clamping to prevent clotting during surgery.

Abstract

Abstract We report the surgical technique for subxiphoid robotic thymectomy with combined superior vena cava (SVC) resection. A blood-drainage cannula was inserted into the left internal jugular vein as a blood-drainage route. A blood infusion cannula was inserted into the left femoral vein. During SVC clamping, an assistant pumped blood through the circuit to prevent clotting. The tumour, SVC, thymus, part of the pericardium and part of the right lung were excised en bloc through a subxiphoid incision. We limited reconstruction to the right brachiocephalic–SVC anastomosis. Robotic-assisted thymectomy via the subxiphoid approach enables SVC replacement, which was previously feasible only with open surgery.

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