Single-incision port robot-assisted surgery for thymic carcinoid tumor resection

Abstract

Background Multiple endocrine neoplasia (MEN) is divided into MEN type 1 (MEN-1) and MEN type 2 (MEN-2). MEN-1 may be associated with thymic carcinoid tumors. We present a case of the surgical removal of a thymic carcinoid associated with MEN-1 via a single-incision port RATS. Case presentation A 39-year-old male patient with multiple endocrine neoplasia type 1 (MEN-1) who had an anterior mediastinal mass was referred to our hospital. The patient had undergone total parathyroidectomy and auto-transplantation of a partial parathyroid for hyperparathyroidism 6 years ago. Chest computed tomography revealed an isolated anterior mediastinal mass on the thymic gland with a maximum diameter measuring 22 mm. Thymic carcinoid tumor is classified as MEN-1 and has a poor prognosis, so we decided to remove the tumor. Single-incision port RATS was performed, and thymic carcinoid was confirmed in pathology. Conclusions This report demonstrates that thymic carcinoid tumor removal is feasible and easy to perform via single-incision port RATS.

Tackling complex thoracic surgical operations with robotic solutions: a narrative review

“…Similarly, multiple case studies report comparable findings regarding the use of a single-port robotic platform. Ishikawa et al report the implementation of transthoracic single port robotic surgery on a 50-year-old male with a mediastinal tumor, while Shidei et al report its use in a 39-year-old male with anterior mediastinal mass caused by multiple endocrine neoplasia type 1 ( 96 , 97 ). In both reports, a single-port robotic platform proved to be a safe alternative that offers enhanced maneuverability and dexterity when handling mediastinal tumors, allowing for good clinical and cosmetic outcomes.…”