robotic removal of thymectomy We have India's largest experience in surgical removal of thymus gland (Thymectomy) using the state-of-art da Vinci Surgical Robot. This procedure requires only a few small incisions, which avoid a sternotomy (large incision that separates chest bone) and get back to your life earlier and with much better quality of life compared to open surgery.

Surgical Removal of Thymus Gland

We have India's largest experience in surgical removal of thymus gland (Thymectomy) using the state-of-art da Vinci Surgical Robot.

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Thymus is a gland located in the middle of upper chest between the sternum (Breast Bone) and heart and possibly because of its central location in the upper chest between the lungs and next to the heart, ancient Greeks thought it might be the seat of the soul or the emotions. robotic removal of thymus gland It wasn't until 1961 that medical science began to understand the actual functions of the thymus and its crucial relationship to the early development of the immune system.

In effect the thymus is the school for T-cells. T-cells (T-lymphocytes, where the T is for thymus) along with similar B-cells produced in bone marrow are a critical component of the body's immune system. Each T-cell carries molecular receptors, something like locks for unique keys that match a specific foreign substance known as an antigen. If a T-cell lock meets its antigen key, it captures and kills it. This is how the body fights the invasion of antigens such as viruses, bacteria, certain poisons and anything else recognized by T-cells. The thymus is the organ that trains the T-cells to do this job.

There is another crucial aspect to the job of the thymus - preventing the body's immune system from attacking itself. It is quite common for the portion of the thymus that responds to an antigen to produce a T-cell version that could attack the body's own proteins. This potential danger is identified by another segment of the thymus and eliminated. In training useful T-cells and removing harmful T-cells, the thymus maintains what is called central tolerance, the ability of the body to defend itself against foreign substances without also attacking its own tissues.

The thymus is most active in performing this role very early in life. In fact, while still a fetus an effective stock or in a way, a library, of T-cells is built using antigens found in the mother's blood. The process continues through childhood and into adolescence, as the body encounters many new antigens and the thymus reacts to build corresponding T-cells. Eventually as the body goes through puberty the stock of T-cells and the range of antigens covered reach a point where the thymus no longer needs to be very active. At that point it begins to slowly atrophy. It reacts to the high levels of adolescent hormones and shrinks in size, a process that then continues through the rest of life.

However there are serious autoimmune diseases and cancers that affect the thymus and it is sometimes necessary to remove the organ in a procedure called a thymectomy. Fortunately, for all practical purposes removal of the thymus from an adult has minimal effect on the immune system.

The most common reasons for a thymectomy are related to:-

  • Myasthenia gravis (MG), an autoimmune disease that causes abnormal muscle fatigue. People with Myasthenia Gravis typically have little energy and suffer from weak, droopy or quickly tiring muscles. For example one or more sagging eyelids are often symptomatic of Myasthenia Gravis.
  • Thymoma, a cancer of the internal surface cells of the thymus.

Approximately 10 to 15 percent of patients with Myasthenia Gravis will have a Thymoma. About 30% of those patients diagnosed with a Thymoma will have Myasthenia Gravis.

Thymoma is a type of cancer that begins in the thymus. Often, the distinction between a benign and a malignant thymoma is made during the actual surgery by assessing the degree to which the thymoma has invaded surrounding structures. Many patients with a thymoma are asymptomatic.

The treatment of thymoma with or without Myasthenia Gravis is complete removal of the thymus with the mass. Surgical approaches to removing a thymoma include a median sternotomy, clamshell incision and more recently Video Assisted Thoracic Surgery (VATS). The minimally invasive VATS procedure is reserved for early stage tumors. As experience with the daVinci robot is gained, a minimally invasive robotic approach to thymoma is considered appropriate for early stage lesions.

Should preoperative studies indicate that the lesion is invasive or malignant, surgeons will not attempt removal using minimally invasive techniques.

Early-stage thymoma cases are commonly treated with a thymectomy. Later stage thymomas and especially malignant thymoma are typically treated with chemotherapy or radiation, which may be followed by thymectomy.



Surgical approaches


Robotic Thymectomy


The Thymus gland is centrally located in the upper body and especially its nearness to the heart, the thymus presents specific challenges for surgery.


With the advent of robotic surgery, which is truly minimally invasive one can achieve the effectiveness of a transsternal approach without the


Advantages to patients




or the patient undergoing a robotic assisted thymectomy, the biggest advantages accrue from the minimally invasive approach and the precision of the internal surgical work.



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Lung Cancer Thymoma Myasthenia Gravis Tracheal Tumour
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License Number: U.P State Medical Council (India) No. 27637