Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumour_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HONG Ziqiang ^1,2 , JIN Dacheng ² , BAI Xiangdou ^1,2 , CHENG Tao ^1,2 , WU Xusheng ^1,2 , CUI Baiqiang ^1,2 ,  GOU Yunjiu ²

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's Hospital, Lanzhou, 730000, P. R. China;

Corresponding author：

GOU Yunjiu, Email: gouyunjiu@163.com

Keywords：

Robot-assisted thoracoscopic surgery; minimally invasive thoracic surgery; mediastinal tumor; neurogenic tumor

DOI：

10.7507/1007-4848.202207068

Video：

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Abstract Full text Figures/Tables Video References Cited by

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.

Citation： HONG Ziqiang, JIN Dacheng, BAI Xiangdou, CHENG Tao, WU Xusheng, CUI Baiqiang, GOU Yunjiu. Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumour. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(3): 408-412. doi: 10.7507/1007-4848.202207068 Copy

1.	Lacquet M, Moons J, Ceulemans LJ, et al. Surgery for mediastinal neurogenic tumours: A 25-year single-centre retrospective study. Interact Cardiovasc Thorac Surg, 2021, 32(5): 737-743.
2.	Yun PJ, Huang TW, Li YF, et al. Symptomatic pericardial schwannoma treated with video-assisted thoracic surgery: A case report. J Thorac Dis, 2016, 8(5): E349-E352.
3.	Marchevsky AM, Balzer B. Mediastinal tumors of peripheral nerve origin (so-called neurogenic tumors). Mediastinum, 2020, 4: 32.
4.	Ratbi MB, El Oueriachi F, Arsalane A, et al. Surgery of benign neurogenic tumors in adults: Single institution experience. Pan Afr Med J, 2014, 19: 288.
5.	Landreneau RJ, Dowling RD, Ferson PF. Thoracoscopic resection of a posterior mediastinal neurogenic tumor. Chest, 1992, 102(4): 1288-1290.
6.	Ujiie H, Gregor A, Yasufuku K. Minimally invasive surgical approaches for lung cancer. Expert Rev Respir Med, 2019, 13(6): 571-578.
7.	Chen X, Ma Q, Wang S, et al. Surgical treatment of posterior mediastinal neurogenic tumors. J Surg Oncol, 2019, 119(6): 807-813.
8.	Cilleruelo Ramos A, Borrego Pintado H, Castanedo Allende M. Endoscopic management of tracheal neurofibroma. Arch Bronconeumol (Engl Ed), 2020, 56(2): 116.
9.	Temelkova I, Tchernev G. Giant pelvic neurofibroma in patient with plexiform sciatic neurofibroma and neurofibromatosis type 1. Open Access Maced J Med Sci, 2019, 7(8): 1346-1349.
10.	Liu S, Zhou X, Song A, et al. Giant plexiform neurofibroma of thigh in a young woman. Postgrad Med J, 2019, 95(1126): 459-460.
11.	Ruurda JP, Hanlo PW, Hennipman A, et al. Robot-assisted thoracoscopic resection of a benign mediastinal neurogenic tumor: Technical note. Neurosurgery, 2003, 52(2): 462-464.
12.	蒋彬, 康珀铭, 陶绍霖, 等. 机器人与胸腔镜手术治疗前纵隔肿物的近期疗效对比. 第三军医大学学报, 2019, 41(16): 1578-1582.
13.	宋朝晖, 冯彪, 刘卿, 等. 纵隔神经源性肿瘤磁共振成像的诊断价值分析. 实用医学影像杂志, 2018, 19(2): 141-143.
14.	Horiuchi A, Muraji T, Tsugawa C, et al. Thoracic neuroblastoma: Outcome of incomplete resection. Pediatr Surg Int, 2004, 20(9): 714-718.
15.	罗爱国, 轩永波, 唐开维, 等. 电视胸腔镜治疗后纵隔神经源性肿瘤. 临床军医杂志, 2015, 43(1): 3-6.
16.	柏启州, 于珺, 苟云久, 等. 达芬奇机器人手术治疗纵隔肿瘤的病例对照研究. 中国胸心血管外科临床杂志, 2018, 25(5): 382-386.
17.	Cerfolio RJ, Bess KM, Wei B, et al. Incidence, results, and our current intraoperative technique to control major vascular injuries during minimally invasive robotic thoracic surgery. Ann Thorac Surg, 2016, 102(2): 394-399.

1. Lacquet M, Moons J, Ceulemans LJ, et al. Surgery for mediastinal neurogenic tumours: A 25-year single-centre retrospective study. Interact Cardiovasc Thorac Surg, 2021, 32(5): 737-743.
2. Yun PJ, Huang TW, Li YF, et al. Symptomatic pericardial schwannoma treated with video-assisted thoracic surgery: A case report. J Thorac Dis, 2016, 8(5): E349-E352.
3. Marchevsky AM, Balzer B. Mediastinal tumors of peripheral nerve origin (so-called neurogenic tumors). Mediastinum, 2020, 4: 32.
4. Ratbi MB, El Oueriachi F, Arsalane A, et al. Surgery of benign neurogenic tumors in adults: Single institution experience. Pan Afr Med J, 2014, 19: 288.
5. Landreneau RJ, Dowling RD, Ferson PF. Thoracoscopic resection of a posterior mediastinal neurogenic tumor. Chest, 1992, 102(4): 1288-1290.
6. Ujiie H, Gregor A, Yasufuku K. Minimally invasive surgical approaches for lung cancer. Expert Rev Respir Med, 2019, 13(6): 571-578.
7. Chen X, Ma Q, Wang S, et al. Surgical treatment of posterior mediastinal neurogenic tumors. J Surg Oncol, 2019, 119(6): 807-813.
8. Cilleruelo Ramos A, Borrego Pintado H, Castanedo Allende M. Endoscopic management of tracheal neurofibroma. Arch Bronconeumol (Engl Ed), 2020, 56(2): 116.
9. Temelkova I, Tchernev G. Giant pelvic neurofibroma in patient with plexiform sciatic neurofibroma and neurofibromatosis type 1. Open Access Maced J Med Sci, 2019, 7(8): 1346-1349.
10. Liu S, Zhou X, Song A, et al. Giant plexiform neurofibroma of thigh in a young woman. Postgrad Med J, 2019, 95(1126): 459-460.
11. Ruurda JP, Hanlo PW, Hennipman A, et al. Robot-assisted thoracoscopic resection of a benign mediastinal neurogenic tumor: Technical note. Neurosurgery, 2003, 52(2): 462-464.
12. 蒋彬, 康珀铭, 陶绍霖, 等. 机器人与胸腔镜手术治疗前纵隔肿物的近期疗效对比. 第三军医大学学报, 2019, 41(16): 1578-1582.
13. 宋朝晖, 冯彪, 刘卿, 等. 纵隔神经源性肿瘤磁共振成像的诊断价值分析. 实用医学影像杂志, 2018, 19(2): 141-143.
14. Horiuchi A, Muraji T, Tsugawa C, et al. Thoracic neuroblastoma: Outcome of incomplete resection. Pediatr Surg Int, 2004, 20(9): 714-718.
15. 罗爱国, 轩永波, 唐开维, 等. 电视胸腔镜治疗后纵隔神经源性肿瘤. 临床军医杂志, 2015, 43(1): 3-6.
16. 柏启州, 于珺, 苟云久, 等. 达芬奇机器人手术治疗纵隔肿瘤的病例对照研究. 中国胸心血管外科临床杂志, 2018, 25(5): 382-386.
17. Cerfolio RJ, Bess KM, Wei B, et al. Incidence, results, and our current intraoperative technique to control major vascular injuries during minimally invasive robotic thoracic surgery. Ann Thorac Surg, 2016, 102(2): 394-399.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumour

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