Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumour
- VernacularTitle:机器人辅助胸腔镜手术治疗后纵隔神经源性肿瘤的临床疗效分析
- Author:
Ziqiang HONG
1
,
2
;
Dacheng JIN
2
,
3
;
Xiangdou BAI
1
,
2
;
Tao CHENG
1
,
2
;
Xusheng WU
1
,
2
;
Baiqiang CUI
1
,
2
;
Yunjiu GOU
2
,
3
Author Information
1. 1. The First Clinical Department of Gansu University of Traditional Chinese Medicine, Lanzhou, 730000, P. R. China 2. Department of Thoracic Surgery, Gansu Provincial People'
2. s Hospital, Lanzhou, 730000, P. R. China
3. Department of Thoracic Surgery, Gansu Provincial People'
- Publication Type:Journal Article
- Keywords:
Robot-assisted thoracoscopic surgery;
minimally invasive thoracic surgery;
mediastinal tumor;
neurogenic tumor
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(03):408-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the short-term outcome of robot-assisted thoracoscopic surgery (RATS) for the treatment of posterior mediastinal neurogenic tumour. Methods The clinical data of consecutive patients with mediastinal neurogenic tumors who received RATS treatment completed by the same operator in the Department of Thoracic Surgery, Gansu Provincial People's Hospital from June 2016 to June 2022 were retrospectively analyzed. The tumors were preoperatively localized and evaluated using magnetic resonance imaging or enhanced CT. Results A total of 35 patients were enrolled, including 19 males and 16 females with a mean age of 34.9±7.1 years. All patients successfully completed the resection of posterior mediastinal neurogenic tumors under RATS, and no conversion to thoracotomy occurred during the operation. The average operative time was 62.3±18.0 min, docking time was 10.3±2.6 min, intraoperative bleeding was 33.9±21.6 mL, postoperative 24-hour chest drainage was 69.0±28.9 mL, postoperative chest drainage time was 2.0 (1.0, 3.0) d and the postoperative hospital stay was 3.0 (2.0, 4.0) d. Postoperative complications occurred in 3 patients, including 2 patients with transient Honor syndrome and 1 patient with transient anhidrosis of the affected upper limb. Conclusion RATS for posterior mediastinal neurogenic tumours is safe, effective and feasible, and allows the full benefit of the robotic surgical system to be exploited.
