Simultaneous robotic right middle lobectomy and thymectomy via a single-docking, supine approach: a strategic 5-port solution

Huseyin Yildiran; Atilla Can; Tuba Sahinoglu; Muhammet Ali Tiske; Serhat Kizilkaya; Esra Sahiner

doi:10.26663/cts.2026.030

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Simultaneous robotic right middle lobectomy and thymectomy via a single-docking, supine approach: a strategic 5-port solution

Huseyin Yildiran¹,Atilla Can¹,Tuba Sahinoglu¹,Muhammet Ali Tiske¹,Serhat Kizilkaya¹,Esra Sahiner¹

Current Thoracic Surgery 2026;11(2):208-213.

¹Department of Thoracic Surgery, Faculty of Medicine, Selçuk University, Konya, Türkiye

DOI : 10.26663/cts.2026.030

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The management of synchronous mediastinal and pulmonary pathologies presents a significant technical challenge, often requiring staged operations, intraoperative patient repositioning, or system re-docking. We report a case of a 67-year-old man with active myasthenia gravis and a synchronous right middle lobe pulmonary nodule who successfully underwent simultaneous robotic total thymectomy and right middle lobectomy during a single session. This single-docking robotic strategy maximizes the robotic system’s ergonomic advantages, eliminates the risks of repeated anesthesia in neurologically vulnerable patients, and offers an efficient alternative for multi-compartment thoracic resections.

Keywords : lobectomy, myasthenia gravis, robotic surgical procedures, thymectomy, synchronous neoplasms