Robotic Thymectomy for Myasthenia Gravis

1. Introduction

2. Placement of Ports

3. Robot Docking

4. Pericardial Fat Clearing and Exposure of the Thymus and Left Phrenic Nerve

5. Left Phrenic Nerve Mobilization

6. Clear Tissue from Pericardium and Visualize Innominate Vein

7. Mobilization of the Innominate Vein and Division of Branches to the Thymus

8. Dissection of Thymic Poles

1. Further Mobilization of the Innominate Vein and Division of Branches to the Thymus
2. Visualization of Right Phrenic Nerve and Freeing the Pleura off of it
3. Continue Mobilization of the Innominate Vein and Division of Branches to the Thymus

9. Dissection Along the Right Phrenic Nerve to the SVC

10. Removal of Specimen, Hemostasis, and Robot Undocking