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.	蔣彬, 康珀銘, 陶紹霖, 等. 機器人與胸腔鏡手術治療前縱隔腫物的近期療效對比. 第三軍醫大學學報, 2019, 41(16): 1578-1582.
13.	宋朝暉, 馮彪, 劉卿, 等. 縱隔神經源性腫瘤磁共振成像的診斷價值分析. 實用醫學影像雜志, 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.	羅愛國, 軒永波, 唐開維, 等. 電視胸腔鏡治療后縱隔神經源性腫瘤. 臨床軍醫雜志, 2015, 43(1): 3-6.
16.	柏啟州, 于珺, 茍云久, 等. 達芬奇機器人手術治療縱隔腫瘤的病例對照研究. 中國胸心血管外科臨床雜志, 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. 蔣彬, 康珀銘, 陶紹霖, 等. 機器人與胸腔鏡手術治療前縱隔腫物的近期療效對比. 第三軍醫大學學報, 2019, 41(16): 1578-1582.
13. 宋朝暉, 馮彪, 劉卿, 等. 縱隔神經源性腫瘤磁共振成像的診斷價值分析. 實用醫學影像雜志, 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. 羅愛國, 軒永波, 唐開維, 等. 電視胸腔鏡治療后縱隔神經源性腫瘤. 臨床軍醫雜志, 2015, 43(1): 3-6.
16. 柏啟州, 于珺, 茍云久, 等. 達芬奇機器人手術治療縱隔腫瘤的病例對照研究. 中國胸心血管外科臨床雜志, 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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