Robotic assisted transaxillary thymectomy: Novel approach to thymic surgery

Background We present a video case with a novel, minimally invasive approach to the thymus, which does not require a sternotomy, thoracic incision, or entry into the pleural space. Methods A 14‐year‐old girl was referred to our clinic with dysphagia and left sided thymic mass. A detailed video shows the operative techniques used to perform a thymectomy with robotic assistance via a transaxillary approach. Results The procedure was tolerated well and without complication. The patient was discharged the day after surgery and was symptom free at her 2‐week follow‐up appointment. Conclusion We present a novel approach to thymic surgery that does not require a neck incision, sternotomy, or entry into the pleural space. There could be several benefits from this minimally invasive approach; however, concerns related to exposure and adequacy of resection need further research prior to recommending this technique for myasthenia or malignancy.