Endoscopic computer-enhanced mediastinal mass resection using robotic technology. Heart Surg Forum 2003;6(6):E164-6
Date
01/15/2004Pubmed ID
14722003Scopus ID
2-s2.0-1642270840 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
BACKGROUND: Robotic technology can be used to facilitate the performance of a variety of cardiac surgical procedures, including internal mammary artery mobilization, atrial septal defect repair, mitral valve repair, and coronary artery bypass grafting. This report describes t h e use of robotic technology for resection of mediastinal masses.
METHODS: Two patients underwent mediastinal mass resection performed using the Da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA, USA). The first patient had a 3 x 4-cm mass located in the left superiorposterior mediastinum, abutting the left subclavian artery. The second patient had a 2.7 x 1.9-cm mass located in the left chest wall.
RESULTS: Both mediastinal masses were successfully excised using a totally endoscopic robotic approach with three 1-cm incisions. Neither case was converted to a thoracotomy or sternotomy. There were no postoperative complications. Both patients were discharged on postoperative day 2.
CONCLUSIONS: Resection of a mediastinal mass ca n be performed safely and effectively using robotic technology. By minimizing surgical trauma, this approach is likely to yield a hastened postoperative recovery and improved quality of life.
Author List
Morgan JA, Kohmoto T, Smith CR, Oz MC, Argenziano MAuthor
Takushi Kohmoto MD, PhD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
FemaleHumans
Male
Mediastinal Neoplasms
Middle Aged
Neurilemmoma
Neurofibroma
Robotics
Thoracoscopy