机器人辅助前纵隔肿物切除并同期切除心包及邻近肺组织治疗局部晚期胸腺癌
Robot-assisted anterior mediastinal mass excision with pericardium and adjacent lung for locally advanced thymic carcinoma.
作者信息
Yang Hee Chul, Coyan Garrett, Vercauteren Matthew, Reddy Neha, Luketich James D, Sarkaria Inderpal S
机构信息
Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine and the University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
出版信息
J Vis Surg. 2018 May 31;4:115. doi: 10.21037/jovs.2018.05.20. eCollection 2018.
Abstract
Robot-assisted surgery for anterior mediastinal mass resection has been increasingly adopted as an alternative method to open sternotomy and conventional video-assisted thoracic surgery. However, more evidence is needed to expand the indication of this technique to more complicated cases. We present a case of robot-assisted resection of a 7-cm anterior mediastinal mass with pericardium and adjacent lung for thymic squamous cell carcinoma, accompanied by reconstruction of pericardium with polytetrafluoroethylene patch. In conclusion, complex anterior mediastinal mass excision is feasible with robotic thoracic surgery.
摘要
机器人辅助手术用于前纵隔肿物切除已越来越多地被采用，作为开胸手术和传统电视辅助胸腔镜手术的替代方法。然而，需要更多证据将该技术的适应证扩展到更复杂的病例。我们报告一例机器人辅助切除7厘米前纵隔肿物的病例，该肿物累及心包和邻近肺组织，病理为胸腺鳞状细胞癌，并使用聚四氟乙烯补片进行心包重建。总之，机器人辅助胸外科手术可行于复杂的前纵隔肿物切除。
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