Morgan Jeffrey A, Kohmoto Takushi, Smith Craig R, Oz Mehmet C, Argenziano Michael
Division of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Heart Surg Forum. 2003;6(6):E164-6.
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.
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.
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.
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.
机器人技术可用于辅助多种心脏外科手术，包括胸廓内动脉游离、房间隔缺损修复、二尖瓣修复和冠状动脉旁路移植术。本报告描述了机器人技术在纵隔肿物切除术中的应用。
两名患者接受了使用达芬奇机器人手术系统（美国加利福尼亚州山景城直观外科公司）进行的纵隔肿物切除术。首例患者有一个3×4厘米大小的肿物，位于左上后纵隔，毗邻左锁骨下动脉。第二例患者有一个2.7×1.9厘米大小的肿物，位于左胸壁。
两个纵隔肿物均通过完全内镜机器人手术方法成功切除，有三个1厘米的切口。两例均未转为开胸手术或胸骨切开术。无术后并发症。两名患者均于术后第2天出院。
使用机器人技术可安全有效地进行纵隔肿物切除术。通过将手术创伤降至最低，这种方法可能会加快术后恢复并改善生活质量。
