Minimally invasive thymectomy for thymoma: does surgical approach matter or is it a question of stage?

Complete (R0) surgical resection remains the primary treatment modality for thymoma in both early and advanced stage disease. Following trends seen in surgery for other malignancies, minimally invasive thymectomy (MIT) utilizing VATS or robotic approaches have increased in popularity due to the short term and cosmetic benefits associated with minimally invasive surgery.