Port Placement in Robotic Thoracic Surgery for Inferior Mediastinal Tumors

Fukui, Manabu; Watanabe, Yukio; Matsunaga, Takeshi; Ueno, Hiroyasu; Hattori, Aritoshi; Takamochi, Kazuya; Suzuki, Kenji

doi:10.1016/j.athoracsur.2021.04.044

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…The tumor was well-visualized and resected without complications. When using Si for inferior mediastinal tumors, the patient cart should roll from the caudal side and dock on the backside [ 36 , 37 ].…”

Section: Posterior Mediastinal Tumormentioning

confidence: 99%

Robotic Mediastinal Tumor Resections: Position and Port Placement

Okazaki

Shien

Suzawa

et al. 2022

JPM

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This study aimed to determine the optimal position and port placement during robotic resection for various mediastinal tumors. For anterior mediastinal tumors, total or extended thymectomy is commonly performed in the supine position using the lateral or subxiphoid approach. Although it is unclear which approach is better during robotic thymectomy, technical advantages of subxiphoid approach are beneficial for patients with myasthenia who require extended thymectomy. Partial thymectomy is performed in the supine position using a lateral approach. Superior, middle, and posterior mediastinal tumors are resected in the decubitus position using the lateral approach, whereas dumbbell tumor resection, which requires a posterior approach, can be performed in the prone position. The position and port placement should be chosen depending on the size, location, and aggressiveness of the tumor. In this study, we describe how to choose which of these different robotic approaches can be used based on our experience and previous reports.

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Section: Posterior Mediastinal Tumormentioning

confidence: 99%

Robotic Mediastinal Tumor Resections: Position and Port Placement

Okazaki

Shien

Suzawa

et al. 2022

JPM

View full text Add to dashboard Cite

show abstract

Robot-assisted thoracoscopic surgery for large apical schwannoma in an obese patient

Ishihara

Shimomura

Tsunezuka

et al. 2022

Gen Thorac Cardiovasc Surg Cases

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Background Neural tumors at the thoracic apex require a careful surgical technique because of the presence of vascular and neural structures and minimally invasive surgery can be challenging for these tumors, especially large tumor in obese patients. We report a case of a large apical schwannoma that treated with RATS in an obese patient. Case presentation An obese, diabetic, 36-year-old obese man with a body mass index of 34.7 presented with a 5.0-cm mediastinal mass in the left thoracic apex diagnosed via chest computed tomography. The magnetic resonance images suggested a schwannoma. Surgery was scheduled after glycemic control. Robot-assisted thoracoscopic surgery (RATS) was performed with in the right lateral position, and tumor was dissected from the surrounding tissue without severe nerve injury using bipolar forceps. The pathological diagnosis was benign schwannoma. The patient had an uneventful clinical course and was discharged on postoperative day 3. Conclusion RATS may be a useful approach in the narrow space of the thoracic cavity in obese patients.

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Port Placement in Robotic Thoracic Surgery for Inferior Mediastinal Tumors

Cited by 2 publications

References 5 publications

Robotic Mediastinal Tumor Resections: Position and Port Placement

Robotic Mediastinal Tumor Resections: Position and Port Placement

Robot-assisted thoracoscopic surgery for large apical schwannoma in an obese patient

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