Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience

• DOI: 10.21037/jtd.2019.08.105
• Publication Date: 2020-02-17T02:48:18Z
• Authors: Kai Chen; Xianfei Zhang; Runsen Jin; Jie Xiang; Dingpei Han; Yajie Zhang; Hecheng Li
• Keywords: Video-assisted thoracoscopic surgery; Mediastinal tumor; Cardiothoracic surgery

The objectives of this study were to evaluate the feasibility and safety robot-assisted thoracic surgery (RATS) using da Vinci robotic system for mediastinal mass resection describe surgical approach masses in different regions.We retrospectively reviewed data from 84 patients who underwent RATS a June 2015 April 2019. results analyzed with descriptive statistics.The was resected successfully all patients, one patient requiring conversion conventional open surgery. There no intraoperative complications. most common diagnoses thymoma (n=17), bronchogenic cyst (n=16), schwannoma (n=12). determined by location lesion planned extent resection. Resection performed lateral decubitus position 29 posterior tumor, semi-lateral 42 only need anterior mass, reverse Trendelenburg 13 undergoing thymectomy. mean (± standard deviation) operation time 91.86±56.42 min, duration chest tube use 1.83±0.93 days, postoperative hospital stay 3.62±7.52 days. Three (3.5%) developed complications: chylous fistula, which required reoperation, case each atrial fibrillation pulmonary infection, treated conservatively.Our experience demonstrated that approaches are safe feasible An appropriate can be selected based on region tumor is located.