TY - JOUR
T1 - Extended indications for robotic surgery for posterior mediastinal tumors
AU - Kajiwara, Naohiro
AU - Kakihana, Masatoshi
AU - Usuda, Jitsuo
AU - Ohira, Tatsuo
AU - Kawate, Norihiko
AU - Ikeda, Norihiko
PY - 2012/6/1
Y1 - 2012/6/1
N2 - 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.
AB - 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.
KW - Mediastinal neoplasms
KW - Minimally invasive
KW - Robotics
KW - Surgical procedures
KW - Thoracic surgery
KW - Video-assisted
UR - http://www.scopus.com/inward/record.url?scp=84867651940&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84867651940&partnerID=8YFLogxK
U2 - 10.1177/0218492311434332
DO - 10.1177/0218492311434332
M3 - Article
C2 - 22718720
AN - SCOPUS:84867651940
VL - 20
SP - 308
EP - 313
JO - Asian Cardiovascular and Thoracic Annals
JF - Asian Cardiovascular and Thoracic Annals
SN - 0218-4923
IS - 3
ER -