胸腺瘤合并重症肌无力是常见的胸外科疾病，治疗方式主要包括外科手术、化疗、放疗等。对于可 完全切除的胸腺肿瘤，其治疗方式首选外科治疗。传统手术方式包括经胸骨正中切口开放手术和电视胸腔镜下切除 胸腺瘤。随着达芬奇机器人辅助手术系统的发展和推广，应用达芬奇机器人治疗胸腺瘤可最大程度地完整切除肿瘤、 保护邻近组织，且具有更高的安全性。本文介绍 1 例机器人辅助胸腺瘤扩大切除术治疗重症肌无力患者，治疗效果满意。

Thymoma with myasthenia gravis is a common thoracic disease. Surgery, chemotherapy and radiotherapy are  the main treatment for this disease. Thymic tumors are considered to be able to completely resect, surgical treatment is the first  choice. Traditional surgical methods include open surgery and video-assisted thoracoscopic(VATS) resection of thymoma. With  the development and promotion of Da Vinci robotic surgical system, robot-assisted thymectomy could completely remove the tumor as much as possible. It could also protect adjacent tissues with higher safety. A case of extended thymoma combined with  myasthenia gravis under robot-assisted thymectomy with satisfactory outcomes was reported in this paper.

收稿日期：2021-07-21  录用日期：2021-12-13 

Received Date: 2021-07-21  Accepted Date: 2021-12-13 

基金项目：国家自然科学基金（82172655） 

Foundation Item: National Natural Science Foundation of China(82172655) 

通讯作者：张春芳，Email：zhcf3801@csu.edu.cn 

Corresponding Author: ZHANG Chunfang, Email: zhcf3801@csu.edu.cn 

引用格式：周燕武，李昕，高阳，等 . 机器人辅助胸腺瘤扩大切除术治疗重症肌无力一例报道 [J]. 机器人外科学杂志（中英文）， 2023，4（4）：371-375. 

Citation: ZHOU Y W, LI X, GAO Y, et al. Robot-assisted expanded thymectomy for myasthenia gravis: a case report [J]. Chinese Journal of Robotic Surgery, 2023, 4 (4): 371-375. 

注：周燕武，李昕为共同第一作者 Co-first Author: ZHOU Yanwu, LI Xin

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