Robotically enhanced mediastinal teratoma resection: a case report and review of the literature

Willems, Els; Martens, Sebastiaan; Beelen, Roel

doi:10.1080/00015458.2016.1147264

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…With its advantages of high-definition, three-dimensional views, articulating endo-wristed instruments, and tremorfiltering capabilities (19), robotic-assisted surgery has become popular. Since mediastinal mass resection via RATS was first reported (11,20), the technique has been increasingly used worldwide for a number of different types of mediastinal masses (21)(22)(23)(24). Our experience with 84 patients shows that robotic resection of mediastinal tumors is safe and feasible.…”

Section: Discussionmentioning

confidence: 83%

Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience

Chen¹,

Zhang²,

Jin³

et al. 2020

J Thorac Dis

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Background: The objectives of this study were to evaluate the feasibility and safety of robot-assisted thoracic surgery (RATS) using the da Vinci robotic system for mediastinal mass resection and to describe the surgical approach for masses in different mediastinal regions. Methods: We retrospectively reviewed data from 84 patients who underwent RATS for resection of a mediastinal mass from June 2015 to April 2019. The results were analyzed with descriptive statistics. Results: The mediastinal mass was resected successfully in all patients, with one patient requiring conversion to conventional open surgery. There were no intraoperative complications. The most common diagnoses were thymoma (n=17), bronchogenic cyst (n=16), and schwannoma (n=12). The surgical approach was determined by the location of the lesion and the planned extent of surgical resection. Resection was performed in the lateral decubitus position in 29 patients with posterior mediastinal tumor, semilateral decubitus position in 42 patients who only need resection of anterior mediastinal mass, and reverse Trendelenburg position in 13 patients undergoing thymectomy. The mean (± standard deviation) operation time was 91.86±56.42 min, duration of chest tube use was 1.83±0.93 days, and postoperative hospital stay was 3.62±7.52 days. Three patients (3.5%) developed postoperative complications: one chylous fistula, which required reoperation, and one case each of atrial fibrillation and pulmonary infection, which were treated conservatively. Conclusions: Our experience demonstrated that different surgical approaches of RATS are safe and feasible for mediastinal mass resection. An appropriate approach can be selected based on the mediastinal region in which the tumor is located.

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Section: Discussionmentioning

confidence: 83%

Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience

Chen¹,

Zhang²,

Jin³

et al. 2020

J Thorac Dis

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“…Conventionally, complete surgical resection is common choice for such tumor, although this is sometimes difficult and requires careful attention to mediastinal structures like the phrenic nerve, vagus nerve, or hilar structures ( 3 , 4 , 25 ). With improving medical technologies and surgical experience, minimally invasive surgical techniques, such as video-assisted thoracoscopic surgery or robotic surgery, are starting to be recommended when the mass is small, while invasive techniques like median sternotomy are still applied for the large mass ( 26 ). However, the most recent studies also supported video-assisted thoracic surgery in certain patients with large masses ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

Incidence, treatment, and survival analysis in mediastinal malignant teratoma population

Wang¹,

Li²,

Jiang³

2020

Transl Cancer Res TCR

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Background Mediastinal malignant teratoma, as a germ cell tumor, is rare and lacking of population-based study. This study aims to illustrate the incidence, treatment and prognosis of mediastinal malignant teratoma by using a population-based database. Methods We gathered clinicopathological data (1975–2016) of malignant teratoma from the Surveillance, Epidemiology and End Results (SEER) database. Then we conducted analysis on the incidence, treatment and prognosis of mediastinal malignant teratoma and other malignant teratomas. Results A total of 5,550 cases were in our study cohort, including mediastinal malignant teratoma (n=133) and other malignant teratomas (n=5,417). The incidence of mediastinal malignant teratoma in 2016 was 0.004 per 100,000 persons. Both overall survival (OS) and cancer-specific survival (CSS) of mediastinal malignant teratoma were significantly worse than those of other malignant teratomas (both P<0.001). Surgery significantly improved OS and CSS of either early-staged or all-staged patients with mediastinal malignant teratoma (all P<0.001). However, both chemotherapy and radiotherapy negatively influenced both OS and CSS of patients with mediastinal malignant teratomas (all P<0.001). Besides, compared with surgery alone, combinational therapies like surgery + chemotherapy or surgery + radiotherapy were more harmful to OS and CSS (all P<0.001) of patients with mediastinal malignant teratoma. Conclusions Our population-based evidence showed that mediastinal malignant teratoma, a rare cancer, had worse prognosis compared with other malignant teratomas. Compared with chemotherapy and radiotherapy, surgery could yield more survival benefits for either early-staged or all-staged patients with mediastinal malignant teratoma. Adjuvant use of chemotherapy/radiotherapy to surgery cannot improve but potentially harm patient prognosis.

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“…Está descrito el aspirado con aguja fina para la caracterización de TEG en caso de que esté contraindicada la biopsia excisional, no obstante, el tratamiento requiere intervención quirúrgica 6,10 . El abordaje actual abarca diversas técnicas mínimamente invasivas incluyendo laparoscopia de un solo puerto y técnicas robóticas 20,21 . La resección incompleta provoca recurrencia y otras complicaciones 18 .…”

Section: Discussionunclassified

Teratoma extragonadal del omento mayor, una localización poco usual: reporte de caso y revisión de la literatura

Arenas

Romo²,

López

2020

Rev Colomb Cir

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Introducción. Los teratomas son masas de células totipotenciales, frecuentes en los ovarios o testículos. Su localización extragonadal es rara, siendo el epiplón aún más infrecuente. Hasta la actualidad se conocen aproximadamente 34 casos similares en la literatura. Presentación del caso. Se presenta una paciente de 61 años, con dolor en hemiabdomen inferior asociado a sensación de masa, con marcadores tumorales negativos e imágenes diagnósticas que muestran una masa encapsulada y calcificación anular interna sugestiva de necrosis grasa antigua versus tumor desmoide. Por la presentación clínica y los hallazgos imagenológicos se decide llevar a laparotomía exploratoria donde se encuentra masa quística dependiente de epiplón, con material sebáceo en su interior entremezclado con pelo y fragmentos óseos, que se reseca en bloque sin complicaciones. El informe del estudio histopatológico finalmente concluyó la presencia de un teratoma quístico maduro con cambios degenerativos. Por evolución satisfactoria se da egreso hospitalario. Discusión. El teratoma quístico extragonadal del epiplón es exótico en la literatura mundial, con escasos reportes de casos. En este caso, la resección mediante laparotomía resultó exitosa y sin complicaciones. Por su baja incidencia, la laparotomía ha sido una opción válida y segura para el manejo, no obstante conocer el caso permite plantear un abordaje con técnicas mínimamente invasivas.

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Robotically enhanced mediastinal teratoma resection: a case report and review of the literature

Cited by 7 publications

References 15 publications

Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience

Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience

Incidence, treatment, and survival analysis in mediastinal malignant teratoma population

Teratoma extragonadal del omento mayor, una localización poco usual: reporte de caso y revisión de la literatura

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