Is there an indication to robotic approach for advanced stage thymic tumors?

Thymectomy is the main therapeutic option in the treatment of thymoma. Different surgical techniques have been described, but transternal approach is still considered the gold standard. Anyway, in the last decades, robotic approach has gained attention and nowadays may be considered a standard operation for early stage disease. The improvement of the robotic surgical technique and the introduction of dedicated instruments have allowed challenging resections, thus rendering the robotic approach indicated also for advanced stage thymoma in highly experienced centers.