Port placement in robotic thoracic surgery for inferior mediastinal tumors

2021 ◽  
Author(s):  
Mariko Fukui ◽  
Yukio Watanabe ◽  
Takeshi Matsunaga ◽  
Hiroyasu Ueno ◽  
Aritoshi Hattori ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Port Placement ◽  
Mediastinal Tumors

Application of pelvic-style docking in robotic surgery for lower-middle mediastinal tumors

2020 ◽  
pp. 021849232098488
Author(s):  
Shota Mitsuboshi ◽  
Hideyuki Maeda ◽  
Masato Kanzaki
Keyword(s):  
Robotic Surgery ◽  
Pulmonary Vein ◽  
Target Lesion ◽  
Field Of View ◽  
Robotic Arm ◽  
Easy Access ◽  
Port Placement ◽  
Mediastinal Tumors ◽  
Inferior Pulmonary Vein ◽  
Camera Port

For robotic surgery, in a field of view looking upwards, the target lesion to be operated on should lie between the camera port and the robot. The ports are placed at the bottom of the chest wall. If the tumor is located below the inferior pulmonary vein, it is necessary to devise alternative port placement and robot docking methods. In 4 patients who had lower middle mediastinal tumors, the “Pelvic” setting on the visual pad of the patient cart was used, which allows easy access for lower middle mediastinal manipulation and results in minimal issues with robotic arm collisions.

scholarly journals PATTERNS OF MEDIASTINAL TUMORS

2016 ◽  
Vol 23 (02) ◽  
pp. 223-227
Author(s):  
Niaz Hussain Soomro ◽  
Dr. Ali Shan Shariff ◽  
Aneeqa Ahsan Zafar ◽  
Omar Ehtisham ◽  
Guzel Maxood ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Medical Records ◽  
Germ Cell Tumors ◽  
Descriptive Study ◽  
Posterior Mediastinum ◽  
Anterior Mediastinum ◽  
Common Type ◽  
Mediastinal Tumors ◽  
Mediastinal Masses ◽  
Common Location

Objective: To review all the mediastinal tumors and cysts operated uponat Department of Thoracic Surgery, OICD, DUHS over a 2.5 year period. Study design:Retrospective descriptive study. Place and duration of study: Ojha Institute of Chest Diseases,Dow University of Health Sciences, Karachi, Pakistan from November 2012- April 2015. Materialand methods: 50 patients with mediastinal masses of either sex were included in the study.Tumors were categorized as arising from the anterior, middle and posterior mediastinum onthe basis of CT scan chest. Tumors were classified into various type based on the results ofhistopathology. Data was obtained from hospital medical records and proformas were filledfor each patient. Results: A total of 50 patients with mediastinal masses were seen at theDepartment of Thoracic Surgery, Ojha Institute of Chest Diseases between Nov 2012- April2015. There were 30 males and 20 females (ratio 1.5:1). Most of the patients were between 11-70 years of age, with mean age of 32 years. The most common location for mediastinal tumorswas found to be the anterior mediastinum which comprised of 40% of all tumors, followed byposterior (32%) and middle mediastinum respectively (28.0%). Shwanomma (18%) was themost common type of tumor observed, followed by lymphoma (12%) and germ cell tumors(10%). Conclusion: Mediastinal tumors are relatively uncommon in clinical setting. Thesetumors represent a group of heterogeneous masses present between two pleural cavities. Adefinitive early diagnosis is the key in management and prognosis of the patient.We present our5 year experience of patterns of mediastinal tumors.

scholarly journals Results of video-assisted thoracoscopic surgery approach to mediastinal tumor at Viet Duc hospital

2020 ◽  
Vol 3 ◽  
pp. 28-32
Author(s):  
Pham Huu Lu ◽  
Nguyen Huu Uoc ◽  
Doan Quoc Hung
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Thoracic Surgery ◽  
Mediastinal Tumor ◽  
Thoracoscopic Surgery ◽  
Thoracic Disease ◽  
Mediastinal Tumors ◽  
Main Symptom ◽  
Hospital Days ◽  
Video Assisted Thoracoscopic Surgery

Objective: The application of endoscopic surgical treatment of thoracic disease are beginning to flourish in Vietnam. The study aimed to evaluate the results of endoscopic thoracic surgical treatment of mediastinal tumors in Viet Duc Hospital. Methods: The retrospective study describes 50 patients mediastinal tumors were treated with endoscopic thoracic surgery from 12/2007 to 8/2012, of the parameters before, during and after surgery and the anatomy pathological results. Results: of  25  male  and  25  female.  Mean age 44.76 ± 16.52 (13-78). The main symptom is chest pain on admission (74%). Tumor size 5.893 ± 1.686 cm (2.7 to 11.0). Surgery time 100 ± 24.82 minutes (60-180).  There  is  a  case  conversed  to  classical surgery (2%). Number of hospital days 4.48 ± 1.5 days (3-12). No  mortality and major complications after surgery. Anatomy-pathological results: 49 cases of benign, 01 malignant cases of stage I (Masaoka). Conclusion: Treatment of mediastinal tumors by endoscopic thoracic surgery is a method of safe and feasible, bring good results after surgery. 

Initial experience with a combined sequential left-sided and subxiphoid video-assisted thoracic surgery approach for resection of large anterior mediastinal tumors

Mediastinum ◽  
2018 ◽  
Vol 2 ◽  
pp. 58-58
Author(s):  
José Ramon Matilla ◽  
Magda Alvoeiro ◽  
Alberto Benazzo ◽  
Stefan Schwarz ◽  
Walter Klepetko ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Initial Experience ◽  
Mediastinal Tumors ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Video-Assisted Thoracic Surgery

2016 ◽  
Author(s):  
Scott J. Swanson ◽  
Abby White
Keyword(s):  
Thoracic Surgery ◽  
Early Stage ◽  
Thoracoscopic Surgery ◽  
Mediastinal Lymph Node ◽  
Wedge Resection ◽  
Hospital Length Of Stay ◽  
Port Placement ◽  
Video Assisted ◽  
Trocar Placement ◽  
Video Assisted Thoracoscopic Surgery

Since the early 1990s, video-assisted thoracoscopic surgery (VATS) has revolutionized surgical care. The era of VATS is sufficiently mature that enough data have accrued to compare the efficacy of VATS with that of open procedures. In this regard, anatomic pulmonary resection by VATS has led to significant reductions in morbidity, mortality, and hospital length of stay, allowing patients a more expeditious return to regular activities. VATS has been used in the treatment of both benign and malignant diseases of the chest. Furthermore, VATS may be used in selected patients with early-stage lung cancer without breaching oncologic surgical principles. This review covers the case for VATS technology; operative planning; basic thoracoscopy operative technique; VATS procedures for pleural disease, pulmonary wedge resection, spontaneous pneumothorax and bullous disease, lung volume reduction surgery, lobectomy, mediastinal lymph node dissection, pericardial window, mediastinal masses, management of thoracic trauma, sympathectomy and splanchnicectomy; and cost considerations. Figures show preoperative evaluation; proper patient position in the operating room, with the patient propped on pontoons; triangulation technique for port placement in relation to intrathoracic structures and targets; thoracoscope and trocar placement; video and monitors; wedge resection with lung compression clamp; tissue-reinforced stapler  inserted into the chest; endoleader looped around the superior pulmonary vein; endoleader looped around the truncus anterior and its branch; and division of the upper lobe bronchus. Tables list indications and relative contraindications for VATS procedures, basic instruments and equipment used for VATS procedures, and operative steps for VATS lobectomy.   This review contains 10 highly rendered figures, 3 tables, and 35 references Key words: Video-assisted thoracoscopic surgery; VATS; Minimally invasive thoracic surgery; Thoracoscopy; Rigid thoracoscope; Flexible thoracoscope; Thoracoport

scholarly journals Minimalist video-assisted thoracic surgery biopsy of mediastinal tumors

2016 ◽  
Vol 8 (12) ◽  
pp. 3704-3710 ◽  
Author(s):  
Federico Tacconi ◽  
◽  
Paola Rogliani ◽  
Benedetto Cristino ◽  
Francesco Gilardi ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Mediastinal Tumors ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals Ten-year Experience with Minimally-invasive Thoracic Surgery at the Hospital Dr. Rafael Ángel Calderón Guardia

2011 ◽  
Vol 52 (1) ◽  
Author(s):  
Jose A. Mainieri Hidalgo
Keyword(s):  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Surgical Procedures ◽  
Medical Records ◽  
Diagnostic Procedures ◽  
Mediastinal Tumors ◽  
Major Procedure ◽  
Minimally Invasive Thoracic Surgery ◽  
Surgery Department ◽  
Larger Sample

Objective: To analyze how useful has been the development of thoracoscopy at the Hospital Dr. Rafael A. Calderón Guardia Hospital.Materials and methods: With the purpose of assessing the experience acquired with the practice of minimally-invasive thoracic surgery (VAT surgery) during the first 10 years; clinical data from March 1999 to March 2009 of 788 patients, taken from a database of the Thoracic Surgery Department, was reviewed. Results: During this 10-year period, 25% of the Department’s surgical procedures were performed through thoracoscopy. This percentage increased to 49% during the last 2 years of the reviewed period. The medical records of patients that underwent diagnostic procedures or tumor resections were analyzed. Diagnosis was obtained in 97.4% of patients that underwent surgery with the purpose of diagnosis; mediastinal tumors were the most difficult to diagnose, in two of these cases, the pathologist requested a larger sample. No major procedures were performed through this method. There were no mortality cases. The conversion rate was 2.6%, of which 20% was due to bleeding and 80% to perform a major procedure. Conclusion: Thoracoscopy has revolutionized the field of medicine, superseding previous approaches, such as toracotomy, for minor surgeries; this has allowed the performance of complex surgeries and procedures. The results obtained show satisfactory results for patients and usefulness for the institution.

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