Related Experiment Video
Updated: Jun 8, 2025
Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
Robot-assisted thoracoscopic surgery for large apical schwannoma in an obese patient
Shunta Ishihara1, Masanori Shimomura2, Hiroaki Tsunezuka3
1Division of Thoracic Surgery, Department of Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan. ishihara@koto.kpu-m.ac.jp.
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.
More Related Videos
12:34Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
Published on: January 3, 2020
09:46Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
Published on: February 16, 2024