Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Artif Organs. 2012 Jul;36(7):647-8. doi: 10.1111/j.1525-1594.2011.01422.x. Epub 2012 Feb 6.
A 49-year-old woman was referred to our department for increased schwannoma of the right neck and mediastinum. We chose a robot-assisted endoscopic approach to minimize the operative trauma. After exposure of the thyroid through the right axilla, the neck tumor was resected using the da Vinci Surgical System. A mini-thoracotomy was then made in the left third intercostal space through the axillary incision, robotic instruments were introduced across the thoracic cavity, and the tumor was excised circumferentially using the robot. Histopathological examination of both specimens revealed schwannomas. This procedure has benefited the patient with good cosmetic results and allowed her to rapidly resume her daily activities.
一位 49 岁女性因右侧颈部和纵隔神经鞘瘤增大而被转至我科。我们选择机器人辅助内镜方法以最小化手术创伤。通过右腋窝暴露甲状腺后，使用达芬奇手术系统切除颈部肿瘤。然后在腋中线第 3 肋间做一个小切口，通过腋窝切口引入机器人器械，穿过胸腔，使用机器人环形切除肿瘤。两个标本的组织病理学检查均显示为神经鞘瘤。该手术方法使患者获得了良好的美容效果，并使其能够迅速恢复日常活动。
