摘要
前纵隔肿瘤中以胸腺瘤最常见，首选治疗方式是手术切除，目前标准的术式为胸腺扩大切除术，包括完整切除胸腺、瘤体组织和彻底清扫前纵隔脂肪。手术方法包括经胸骨劈开术、电视胸腔镜手术和机器人辅助胸腔镜手术。经正中胸骨劈开术由于创伤大，现临床应用减少，随着微创胸腔镜技术发展，经侧胸及剑突下入路技术日趋成熟，而机器人手术现仅部分医院开展。但哪一种手术方式更有优势仍存在一定争议。
Abstract
Thymoma is the most common tumor in the anterior mediastinum, the preferred treatment for thymoma is surgical resection. The current standard operation is extended thymectomy, which includes the complete removal of the thymus and mediastinal fat tissue. Commonly used surgical method including the sternum split, video-assisted thoracoscope surgery and robot assisted thoracoscope surgery. As the split in the middle of their chest surgery because of its large traumatic, now has become less in clinical application. With the development of minimally invasive technology of thoracoscope, by the side of the chest and xiphoid process down into road thoracoscope surgeries are more used clinically, while the robotic surgery is only part of the hospital. However, controversies arose regarding which surgical method is more advantageous.
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