Extended indications for robotic surgery for posterior mediastinal tumors

Previously, we evaluated use of the da Vinci Surgical System for anterior and middle mediastinal tumors in clinical cases, focusing on feasibility, safety, and appropriate settings. In this study, we evaluated extending the indications for robotic surgical treatment of posterior mediastinal tumors t...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2012-06, Vol.20 (3), p.308-313
Main Authors: Kajiwara, Naohiro, Kakihana, Masatoshi, Usuda, Jitsuo, Ohira, Tatsuo, Kawate, Norihiko, Ikeda, Norihiko
Format: Article
Language:English
Subjects:
Adult
Bronchogenic Cyst - diagnostic imaging
Bronchogenic Cyst - pathology
Bronchogenic Cyst - surgery
Equipment Design
Feasibility Studies
Female
Humans
Japan
Magnetic Resonance Imaging
Mediastinal Neoplasms - diagnostic imaging
Mediastinal Neoplasms - pathology
Mediastinal Neoplasms - surgery
Middle Aged
Neurilemmoma - diagnostic imaging
Neurilemmoma - pathology
Neurilemmoma - surgery
Robotics - instrumentation
Surgery, Computer-Assisted - instrumentation
Thoracic Surgery, Video-Assisted - instrumentation
Thoracic Surgery, Video-Assisted - methods
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Previously, we evaluated use of the da Vinci Surgical System for anterior and middle mediastinal tumors in clinical cases, focusing on feasibility, safety, and appropriate settings. In this study, we evaluated extending the indications for robotic surgical treatment of posterior mediastinal tumors to include those located adjacent to the upper vertebrae or aorta. Three patients with mediastinal tumors located immediately adjacent to the vertebrae or aorta, underwent resection with the da Vinci Surgical System. All resected tumors were benign histologically. Robotic surgery enabled treatment of tumors located in the posterior mediastinum, which are very difficult to reach, making resection with the conventional video-assisted thoracoscopic surgery technique extremely difficult. All procedures were performed safely, smoothly, and extremely precisely. Crucial to the success of these operations were the appropriate placement and angle of the special da Vinci surgical ports in relation to the target and the patient’s position, which varied according to the tumor location.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492311434332