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Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience
Kai Chen1, Xianfei Zhang1, Runsen Jin1
1Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Journal of Thoracic Disease
|March 20, 2020
Summary
Robot-assisted thoracic surgery (RATS) is a safe and feasible approach for mediastinal mass resection. Different surgical techniques can be tailored to the specific location of the mediastinal tumor for optimal outcomes.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Mediastinal masses require surgical resection.
- Robot-assisted thoracic surgery (RATS) offers potential benefits for complex procedures.
- Evaluating RATS for mediastinal mass resection is crucial.
Purpose of the Study:
- To assess the feasibility and safety of RATS for mediastinal mass resection.
- To describe tailored surgical approaches for various mediastinal regions.
Main Methods:
- Retrospective review of 84 patients undergoing RATS for mediastinal mass resection (June 2015 - April 2019).
- Analysis of surgical approaches based on tumor location and resection extent.
- Descriptive statistical analysis of outcomes.
Main Results:
- Successful resection in all patients; one conversion to open surgery.
- No intraoperative complications; 3.5% postoperative complications (chylous fistula, atrial fibrillation, pulmonary infection).
- Common diagnoses: thymoma (17), bronchogenic cyst (16), schwannoma (12). Mean operation time: 91.86 min.
Conclusions:
- RATS is a safe and feasible surgical option for mediastinal mass resection.
- Tailored RATS approaches based on tumor location improve outcomes.
- This technique facilitates effective management of diverse mediastinal masses.
