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胸腺上皮性肿瘤是临床上最常见的前纵隔原发性肿瘤，目前仍以手术治疗为主。最早普遍采用胸骨正中切口切除肿瘤，但此术式会对患者造成较大的创伤。近年来微创手术的研究进展较快，由电视胸腔镜外科手术到被迅速推广的剑突下入路胸腔镜手术和机器人辅助胸腔镜手术。虽然各种手术方式之间的优劣及适应范围尚存争议，但目前已有大量研究证实微创手术具有更好的疗效及安全性。“,”Thymic epithelial tumor (TET) is the most common primary tumor of anterior mediastinum. Currently surgical treatment is still the main treatment. Median sternotomy is the first widely used method for tumor resection, but it will cause great trauma for patients. In recent years, the research on minimally invasive surgery has made rapid progress, from video-assisted thoracoscopic surgery to rapidly promoted subxiphoid approach video-assisted thoracoscopic surgery and robotic-assisted thoracic surgery. Although the advantages and disadvantages of various surgical methods and the scope of adaptation are still controversial, a large number of studies have confirmed that minimally invasive surgery has better efficacy and safety for TET.