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One-Stage Robotic Resection for Thoracic Dumbbell Tumor Without Repositioning
Masaki Hashimoto1, Fumihiro Arizumi2, Aya Yamamoto1
1Department of Thoracic Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
The Annals of Thoracic Surgery
|January 22, 2021
Summary
A minimally invasive, one-stage surgery successfully removed a thoracic dumbbell tumor using combined spinal and robotic thoracic approaches. This technique avoided patient repositioning, leading to an uneventful recovery for spinal schwannoma treatment.
Area of Science:
- Neurosurgery
- Thoracic Surgery
- Robotic Surgery
Background:
- Thoracic dumbbell tumors pose surgical challenges due to their location.
- Minimally invasive techniques are increasingly explored for spinal tumor resection.
Observation:
- A 67-year-old female presented with a left T3-4 level thoracic dumbbell tumor.
- A one-staged surgical resection was planned utilizing combined spinal and robotic-assisted thoracic approaches without patient repositioning.
Findings:
- The procedure involved T3 left hemilaminectomy, T3/4 left facetectomy, and posterior spinal fixation.
- Robotic-assisted thoracic resection was performed via three ports, achieving complete tumor removal.
- The resected tumor was identified as a benign schwannoma.
Implications:
- This combined approach offers a potentially less invasive option for thoracic dumbbell tumors.
- Robotic assistance may enhance precision and reduce invasiveness in complex spinal surgeries.
- Successful one-stage resection without repositioning demonstrates the feasibility of this advanced surgical strategy.
