Mediastinal Tumor Resection without Drainage by Da Vinci S Surgical System: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIUXing-chi , LIBo , XUWei , WANGTong , DINGRen-quan , WANGXi-long , LIUBo ,  XUShi-guang , WANGShu-min

Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, P. R. China;

Corresponding author：

XUShi-guang, Email: oldmonitor73@163.com

Keywords：

Mediastinal tumor; Robotics; Da Vinci S Surgical System; Fast track surgery; Minimally invasive surgery

DOI：

10.7507/1007-4848.20150235

Video：

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Objective To investigate the feasibility and advantage of the da Vinci S Surgical System in operation of the mediastinal tumor without chest tube. Methods From March 2011 up to March 2015, 39 patients in our hospital with mediastinal tumor underwent resection without a chest tube by da Vinci System were as a no chest tube group with 24 males and 15 females at age of 47.28 (18-73) years. In the same period, 50 patients with mediastinal cyst underwent resection with a chest tube insertion by da Vinci System were as a chest tube group with 25 males and 25 females at age of 49.24 (22-82) years. Clinical data of the two groups were collected and compared. Result There were statistical differences in mean operative time (61.97±16.41min vs. 79.90±33.19 min, P=0.003), time of ICU stay (1.23±0.48 d vs. 2.16±0.82 d, P=0.000), time of postoperative hospitalization (3.77±1.16 d vs. 5.62±2.22 d, P=0.000), and visual analogue scale (VAS) score (3.05±1.76 vs. 4.54±1.83). The clinical results in the no chest tube group were better than those in the chest tube group. All the procedures were successfully completed by da Vinci System in all the patients without conversions and any compilcation. Conclusion It's safe and beneficial for patients without a chest tube after a mediastinal tumor resection with da Vinci S Surgical System with shorter hospital stay.

Citation： LIUXing-chi, LIBo, XUWei, WANGTong, DINGRen-quan, WANGXi-long, LIUBo, XUShi-guang, WANGShu-min. Mediastinal Tumor Resection without Drainage by Da Vinci S Surgical System: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 940-943. doi: 10.7507/1007-4848.20150235 Copy

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4.	Chetty GK,Khan OA,Onyeaka CV,et al.Experience with videoassisted surgery for suspected mediastinal tumours.Eur J Surg Oncol,2004,30(7):776-780.
5.	De Giacomo T,Diso D,Anile M,et al.Thoracoscopic resection of mediastinal bronchogenic cysts in adults.Eur J Cardiothorac surg,2009,36(2):357-359.
6.	Panaro F,Piardi T,Cag M,et al.Robotic liver resection as a bridge to liver transplantation.JSLS,2011,15(1):86-89.
7.	Boonnuch W,Akaraviputh T,Nino C,et al.Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system.World J Gastrointest Surg,2011,3(6):82-85.
8.	Yang MS,Kim KN,Yoon DH,et al.Robot-assisted Resection of Paraspinal Schwannoma.J Korean Med Sci,2011,26(1):150-153.
9.	Park SY,Jeong W,Choi YD,et al.Experience in robotic urologic surgery-applicationin various urological procedures.Yonsei Med J,2008,49(6):897-900.
10.	Kehlet H,Slim K.The future of fast-track surgery.Br J Surg,2012,99(8):1025-1026.
11.	McKenna RJ Jr,Mahtabifard A,Pickens A,et al.Fast-tracking after video-assisted thoracoscopic surgery lobectomy,segmentectomy,and pneumonectomy.Ann Thorac Surg,2007,84(5):1663-1668.
12.	Bjerregaard LS,Jensen K,Petersen RH,et al.Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid production up to 500 ml/day.Eur J Cardiothorac Surg,2014,45(2):241-246.
13.	Göttgens KW,Siebenga J,Belgers EH,et al.Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies.Eur J Cardiothorac Surg,2011,39(4):575-578.
14.	Miyazaki T,Sakai T,Yamasaki N,et al.Chest tube insertion is one important factor leading to intercostal nerve impairment in thoracic surgery.Gen Thorac Cardiovasc Surg,2014,62(1):58-63.
15.	Mueller XM,Tinguely F,Tevaearai HT,et al.Impact of duration of chest tube drainage on pain after cardiac surgery.Eur J Cardiothorac Surg,2000,18(5):570-574.
16.	Refai M,Brunelli A,Salati M,et al.The impact of chest tube removal on pain and pulmonary function after pulmonary resection.Eur J Cardiothorac Surg,2012,41(4):820-823.
17.	Refai M,Brunelli A,Salati M,et al.The impact of chest tube removal on pain and pulmonary function after pulmonary resection.Eur J Cardiothorac Surg,2012,41(4):820-823.
18.	Varela G,Jiménez MF,Novoa N,et al.Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy.Eur J Cardiothorac Surg,2005,27(2):329-333.
19.	Bardell T,Petsikas D.What keeps postpulmonary resection patients in hospital.Can Respir J,2003,10(2):86-89.
20.	Padilla Alarcón J,Peñalver Cuesta JC.Experience with lung resection in a fast-track surgery program.Arch Bronconeumol,2013,49(3):89-93.
21.	王天佑.快速康复外科理论与胸外科.中国胸心血管外科临床杂志,2014,21(1):3-4.
22.	Jayaraman S,Davies W,Schlachta CM.Getting started with robotics in general surgery with cholecystectomy:the Canadian experience.Can J Surg,2009,52(5):374-378.

1. 郑家豪,曹子昂,梁而慷,等.原发性纵隔肿瘤的外科治疗.中国胸心血管外科临床杂志,2006,13(1):49-51.
2. 柳常青,徐美清,郭明发,等.电视胸腔镜下纵隔肿瘤手术54例报告.中国微创外科杂志,2013,13(8):683-684.
3. Kaseda S,Aoki T,Hangai N,et al.Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy.Ann Thorac Surg,2000,70(5):1644-1646.
4. Chetty GK,Khan OA,Onyeaka CV,et al.Experience with videoassisted surgery for suspected mediastinal tumours.Eur J Surg Oncol,2004,30(7):776-780.
5. De Giacomo T,Diso D,Anile M,et al.Thoracoscopic resection of mediastinal bronchogenic cysts in adults.Eur J Cardiothorac surg,2009,36(2):357-359.
6. Panaro F,Piardi T,Cag M,et al.Robotic liver resection as a bridge to liver transplantation.JSLS,2011,15(1):86-89.
7. Boonnuch W,Akaraviputh T,Nino C,et al.Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system.World J Gastrointest Surg,2011,3(6):82-85.
8. Yang MS,Kim KN,Yoon DH,et al.Robot-assisted Resection of Paraspinal Schwannoma.J Korean Med Sci,2011,26(1):150-153.
9. Park SY,Jeong W,Choi YD,et al.Experience in robotic urologic surgery-applicationin various urological procedures.Yonsei Med J,2008,49(6):897-900.
10. Kehlet H,Slim K.The future of fast-track surgery.Br J Surg,2012,99(8):1025-1026.
11. McKenna RJ Jr,Mahtabifard A,Pickens A,et al.Fast-tracking after video-assisted thoracoscopic surgery lobectomy,segmentectomy,and pneumonectomy.Ann Thorac Surg,2007,84(5):1663-1668.
12. Bjerregaard LS,Jensen K,Petersen RH,et al.Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid production up to 500 ml/day.Eur J Cardiothorac Surg,2014,45(2):241-246.
13. Göttgens KW,Siebenga J,Belgers EH,et al.Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies.Eur J Cardiothorac Surg,2011,39(4):575-578.
14. Miyazaki T,Sakai T,Yamasaki N,et al.Chest tube insertion is one important factor leading to intercostal nerve impairment in thoracic surgery.Gen Thorac Cardiovasc Surg,2014,62(1):58-63.
15. Mueller XM,Tinguely F,Tevaearai HT,et al.Impact of duration of chest tube drainage on pain after cardiac surgery.Eur J Cardiothorac Surg,2000,18(5):570-574.
16. Refai M,Brunelli A,Salati M,et al.The impact of chest tube removal on pain and pulmonary function after pulmonary resection.Eur J Cardiothorac Surg,2012,41(4):820-823.
17. Refai M,Brunelli A,Salati M,et al.The impact of chest tube removal on pain and pulmonary function after pulmonary resection.Eur J Cardiothorac Surg,2012,41(4):820-823.
18. Varela G,Jiménez MF,Novoa N,et al.Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy.Eur J Cardiothorac Surg,2005,27(2):329-333.
19. Bardell T,Petsikas D.What keeps postpulmonary resection patients in hospital.Can Respir J,2003,10(2):86-89.
20. Padilla Alarcón J,Peñalver Cuesta JC.Experience with lung resection in a fast-track surgery program.Arch Bronconeumol,2013,49(3):89-93.
21. 王天佑.快速康复外科理论与胸外科.中国胸心血管外科临床杂志,2014,21(1):3-4.
22. Jayaraman S,Davies W,Schlachta CM.Getting started with robotics in general surgery with cholecystectomy:the Canadian experience.Can J Surg,2009,52(5):374-378.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Mediastinal Tumor Resection without Drainage by Da Vinci S Surgical System: A Case Control Study

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