Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
Gen Thorac Cardiovasc Surg. 2022 Aug;70(8):756-758. doi: 10.1007/s11748-022-01839-x. Epub 2022 Jun 6.
A major challenge in treating superior sulcus tumors is achieving complete surgical resection because of technical difficulties associated with the anatomical structures and approaches to the thorax. Our technique combines posterior minimally invasive thoracotomy with robot-assisted right upper lobectomy, thereby reducing the invasiveness of the surgical approach and postoperative complications, including wound pain. In the presented case, the tumor was located on the apical right upper lobe, directly invading the apical thoracic wall structures. Hybrid robotic and minimally invasive thoracotomy with thoracic wall resection was performed. The postoperative course was uneventful. The patient discharged from our hospital with minimal wound pain.
治疗上沟肿瘤的主要挑战是由于与胸部解剖结构和入路相关的技术困难，难以实现完全手术切除。我们的技术结合了后路微创胸腔镜手术和机器人辅助右上肺叶切除术，从而降低了手术入路和术后并发症的侵袭性，包括伤口疼痛。在本例中，肿瘤位于右上肺尖，直接侵犯了胸壁结构。我们采用杂交机器人和微创胸腔镜手术联合胸壁切除。术后过程顺利，患者伤口疼痛轻微，顺利出院。
