Robot-assisted Thoracoscopic Resection of a Benign Mediastinal Neurogenic Tumor: Technical Note

Ruurda, Jelle P.; Hanlo, Patrick W.; Hennipman, A.; Broeders, I. A. M. J.

doi:10.1227/01.neu.0000044460.17286.11

Cited by 53 publications

(33 citation statements)

References 12 publications

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“…4,5,19 To our knowledge, there has been no description in the literature regarding this approach applied to neurogenic tumors at the extreme locations (the very top and bottom of the posterior mediastinum). Indeed, the presence of schwannomas in these regions is rare.…”

Section: Discussionmentioning

confidence: 99%

“…The da Vinci robot has recently been used to treat posterior mediastinal schwannomas in a single-stage operation with excellent surgical outcomes. 4,5,19 However, most existing reports on robotic schwannoma resection have involved the midthoracic region. Here, we present 2 illustrative cases of thoracoscopic schwannoma resection at the cranial and the caudal extremes of the chest cavity using the da Vinci robotic system.…”

mentioning

confidence: 99%

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Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Pacchiarotti

Wang²,

Kolcun³

et al. 2017

Neurosurgical Focus

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Solitary paravertebral schwannomas in the thoracic spine and lacking an intraspinal component are uncommon. These benign nerve sheath tumors are typically treated using complete resection with an excellent outcome. Resection of these tumors is achieved by an anterior approach via open thoracotomy or minimally invasive thoracoscopy, by a posterior approach via laminectomy, or by a combination of both approaches. These tumors most commonly occur in the midthoracic region, for which surgical removal is usually straightforward. The authors of this report describe 2 cases of paravertebral schwannoma at extreme locations of the posterior mediastinum, one at the superior sulcus and the other at the inferior sulcus of the thoracic cavity, for which the usual surgical approaches for safe resection can be challenging. The tumors were completely resected with robot-assisted thoracoscopic surgery. This report suggests that single-stage anterior surgery for this type of tumor in extreme locations is safe and effective with this novel minimally invasive technique.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Pacchiarotti

Wang²,

Kolcun³

et al. 2017

Neurosurgical Focus

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“…In neurosurgery, robot applications mainly directed to stereotactic and endoscopic procedures have been pioneered by innovative neurosurgeons in the past two decades [14,15] . More recently, clinical applications of robotic neurosurgical telemanipulation have been reported by several groups [16][17][18] . Although the practical applications of robotic-assisted procedures in neurosurgery are yet to be demonstrated, as technology continues to advance, robotic applications in neurosurgery are likely to become more prevalent.…”

Section: Discussionmentioning

confidence: 99%

Application of a Robotic Telemanipulation System in Stereotactic Surgery

Tian

Lu²,

Wang³

et al. 2007

Stereotact Funct Neurosurg

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To assess the clinical usefulness, accuracy, and safety of telemanipulation for frameless stereotactic surgery using the CAS-BH5 robot system, we prospectively evaluated 10 patients (age: 5–79 years; mean: 44 years) who underwent telemanipulation frameless stereotactic operations from September to December 2005. The CAS-BH5 robot system consists of three main parts: a planning subsystem, a surgical localization subsystem, and a telemanipulation subsystem. Specifically, CAS-BH5 is capable of network communication, video transmission, graphic simulation and human-machine interaction, and thus facilitates remote planning and transmission of neuronavigation data, monitoring and manipulating. Telemanipulation was performed via a digital data network with a speed of 2,000 kilobytes per second by a neurosurgeon in Beijing while the patients were located in Yan’an, 1,300 km away. Remote fiducial registration was performed with a mean accuracy of 1.05 mm and the standard difference between the planned and actual trajectory was 0.13 mm. The mean time from fiducial registration to closure was 30.2 ± 1.66 min. At 12-month follow-up, 90% of patients had improved neurologically. There were no complications. This preliminary data indicates that telemanipulation in frameless stereotactic surgeries is feasible, reliable and safe. In the future, we believe that telemanipulation will facilitate collaboration between surgeons, enhance training, allow for sharing of resources, and have wide applications in the field of neurosurgery.

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“…Ruurda et al demonstrated the feasibility of a robotassisted thoracoscopic resection of a benign neurogenic tumor in the posterior mediastinum in 2003 [31]. The patient was placed in a semilateral position and several additional auxiliary trocars had to be placed for lung retraction.…”

Section: Posterior Mediastinummentioning

confidence: 99%

Robotic surgery for mediastinal tumors

2011

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Background: The surgical approach to mediastinal tumors has changed during the last two decades. Median sternotomies and thoracotomies have been replaced in part by minimally invasive procedures. Aim of this review is to highlight applications of a robotic-assisted approach in mediastinal tumor surgery.Methods: Review of the current literature.Results: A robotic approach for thymectomy, anterior mediastinal mass resection, pericardial cyst resection, diagnostic sampling of enlarged lymph nodes in the middle mediastinum, resection of benign neurogenic tumors in the posterior mediastinum and esophageal procedures was shown to be feasible. Postoperative outcomes as well as the contraindications and limitations of a robotic approach are discussed.Conclusions: For appropriate indications minimal invasive surgery with a surgical robot can safely be performed for tumors in the anterior, middle, and posterior compartments of the mediastinum.

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Robot-assisted Thoracoscopic Resection of a Benign Mediastinal Neurogenic Tumor: Technical Note

Cited by 53 publications

References 12 publications

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Robotic paravertebral schwannoma resection at extreme locations of the thoracic cavity

Application of a Robotic Telemanipulation System in Stereotactic Surgery

Robotic surgery for mediastinal tumors

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