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

Abstract:

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, semi-lateral 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.

journal_name

J Thorac Dis

authors

Chen K,Zhang X,Jin R,Xiang J,Han D,Zhang Y,Li H

doi

10.21037/jtd.2019.08.105

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

105-113

issue

2

eissn

2072-1439

issn

2077-6624

pii

jtd-12-02-105

journal_volume

12

pub_type

杂志文章
  • A neuroanatomical framework for the central modulation of respiratory sensory processing and cough by the periaqueductal grey.

    abstract::Sensory information arising from the airways is processed in a distributed brain network that encodes for the discriminative and affective components of the resultant sensations. These higher brain networks in turn regulate descending motor control circuits that can both promote or suppress behavioural responses. Here...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.08.119

    authors: McGovern AE,Ajayi IE,Farrell MJ,Mazzone SB

    更新日期:2017-10-01 00:00:00

  • Clinical utility of robot-assisted transthoracic esophagectomy in advanced esophageal cancer after neoadjuvant chemoradiation therapy.

    abstract:Background:Although robot-assisted minimally-invasive esophagectomy (RAMIE) surgeries are expanding clinically, few studies have reported patients with locally-advanced esophageal cancer who underwent neoadjuvant chemoradiation therapy (nCRT). Methods:From 2013 to 2017, 219 patients with esophageal squamous cell carci...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.07.53

    authors: Yun JK,Lee IS,Gong CS,Kim BS,Kim HR,Kim DK,Park SI,Kim YH

    更新日期:2019-07-01 00:00:00

  • A huge neoplasm occupying the right hemithorax in a pregnancy.

    abstract::Germ cell tumors, like teratoma, typically occur in young adults in their second to fourth decade with equal sex distribution. We firstly report a very rare case of a huge tumor compressed the vital structures of the mediastinum that was diagnosed in a 21-year-old woman at 39 weeks of gestation during a routine prenat...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.3978/j.issn.2072-1439.2014.08.46

    authors: Yang M,Shen C,Du H,Wang Y,Che G

    更新日期:2014-10-01 00:00:00

  • The role of surgery in high grade neuroendocrine tumours of the lung.

    abstract::High grade lung neuroendocrine tumours are a heterogeneous subtype of pulmonary cancers including small cell lung cancer (SCLC) and large-cell neuroendocrine carcinoma (LCNEC). LCNEC represents approximately 2-3% of lung cancers, whereas SCLC represents 15-20% of lung cancers. Patients with SCLC and LCNEC have a poor ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.01.60

    authors: Welter S,Aigner C,Roesel C

    更新日期:2017-11-01 00:00:00

  • Flex-rigid pleuroscopic biopsy with the SB knife Jr is a novel technique for diagnosis of malignant or benign fibrothorax.

    abstract::Diagnosing pleural effusion is challenging, especially in patients with malignant or benign fibrothorax, which is difficult to sample using standard flexible forceps (SFF) via flex-rigid pleuroscopy. An adequate sample is crucial for the differential diagnosis of malignant fibrothorax (malignant pleural mesothelioma, ...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2016.11.92

    authors: Wang XB,Yin Y,Miao Y,Eberhardt R,Hou G,Herth FJ,Kang J

    更新日期:2016-11-01 00:00:00

  • Single-port video-assisted thoracoscopic surgery for a huge epiphrenic esophageal diverticulum.

    abstract::Epiphrenic esophageal diverticulum is uncommon disease, which is defined as the herniation of the mucosa and submucosa through the muscle layers of the esophageal wall in distal third of the esophagus. Traditionally, thoracotomy has been the preferred surgical approach. Recently, many surgeons have attempted minimally...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.01.29

    authors: Kang DK

    更新日期:2017-01-01 00:00:00

  • Combinational immunotherapy based on immune checkpoints inhibitors in small cell lung cancer: is this the beginning to reverse the refractory situation?

    abstract::Small cell lung cancer (SCLC), a particular neuroendocrine tumor, occupies 13% of lung cancers, with the highest mortality among cancers. Immune checkpoints inhibitors (ICIs) based on programmed cell death protein-1 (PD-1)/programmed cell death one ligand (PD-L1) inhibitors and cytotoxic T-lymphocyte-associated protei...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd-20-1689

    authors: Guo H,He Y,Chen P,Wang L,Li W,Chen B,Liu Y,Wang H,Zhao S,Zhou C

    更新日期:2020-10-01 00:00:00

  • Chondromatous hamartoma of cervical esophagus: a case report and literature review.

    abstract::Esophageal chondromatous hamartomas are very rare tumors, characterized by proliferating hyaline cartilage cells. We described the case of a 64-year-old woman, with a progressive foreign body sensation in the laryngopharynx caused by an intraluminal pedicled mass. Transcervical esophagectomy was performed and intraope...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.02.79

    authors: Zhang C,Xu J,Wang Z,He Z,Yang H,Hu J

    更新日期:2017-03-01 00:00:00

  • Adjuvant chemotherapy after resection of N1 non-small cell lung cancer: differential impact of new evidence on physician and patient decisions.

    abstract:BACKGROUND:Adjuvant cisplatin-based chemotherapy (ACT) after resection of stages II-IIIA non-small cell lung cancer (NSCLC) modestly increased survival in several clinical trials. This study evaluated the subsequent impact of those trials on ACT use in clinical practice. METHODS:Patients who underwent lobectomy or mor...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.01.42

    authors: Coleman BK,Curtis LH,Onaitis MW,D'Amico TA,Berry MF

    更新日期:2015-03-01 00:00:00

  • Video assistant thoracoscopic (VATS) lobectomy: right lower lobe.

    abstract::The 60-year-old female had a nodule in the right lower lobe of the lung, which was identified as a tumor by CT and PET-CT. Then the right lower lobectomy was performed. The posterior trocar placement, different from other surgery, is in the 5th intercostals space in the anterior latissimus dorsi, which can be built by...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.3978/j.issn.2072-1439.2013.06.29

    authors: Zhao T,Chen H,Yang L,Jin H,Li Z,Zhang J

    更新日期:2013-08-01 00:00:00

  • Hybrid esophagectomy.

    abstract::Esophagectomy is a complex surgical procedure associated with high rates of mortality and morbidity, mainly dominated by pulmonary complications. Minimally invasive approaches have been developed in order to decrease postoperative morbidity, including totally minimally invasive esophagectomy (MIE) and hybrid esophagec...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.12.92

    authors: Voron T,Lintis A,Piessen G

    更新日期:2019-04-01 00:00:00

  • Does one year change in quality of life predict the mortality in patients with chronic obstructive pulmonary disease?-Prospective cohort study.

    abstract:Background:Subjects with chronic obstructive pulmonary disease (COPD) present increased mortality and poor health-related quality of life (HRQoL) as compared with the general population. The objective of this study was to evaluate whether an improvement in QoL after 1 year of proper management is a predictor of surviva...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.07.89

    authors: Havlucu Y,Yorgancıoglu A,Sakar Coskun A,Celık P

    更新日期:2019-08-01 00:00:00

  • Value of delayed 18F-FDG PET in the diagnosis of solitary pulmonary nodule.

    abstract::Performing dual point 18F-FDG PET scans of solitary pulmonary nodules at an initial SUV (max) <2.5 is a useful technique. However, prolonging second image acquisition from 120 to 180 min does not appear to improve accuracy. Dual time 18F-FDG PET is not useful in differentiating benign and malignant pulmonary nodules w...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.06.05

    authors: Khan AN,Al-Jahdali H

    更新日期:2013-06-01 00:00:00

  • Evaluation of lymph node metastasis in lung cancer: who is the chief justice?

    abstract::Accurate determination of the diagnosis and the stage of lung cancer play a critical role to ensure that patients are provided the optimal treatment. However, the process is usually beyond complex. Early studies have suggested lymph nodes (LNs) >1.0 cm in size on computed tomography (CT) are considered as metastatic n...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.11.63

    authors: Xia Y,Zhang B,Zhang H,Li W,Wang KP,Shen H

    更新日期:2015-12-01 00:00:00

  • Chemotherapy treatment in malignant pleural mesothelioma: a difficult history.

    abstract::Malignant pleural mesothelioma (MPM) is a rare neoplasm that typically arises from mesothelial surfaces of the pleural cavity. Despite treatment improvements, it carries a dismal prognosis. The majority of patients either have unresectable disease or are not candidates for surgery due to medical comorbidities or old a...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.10.19

    authors: Cinausero M,Rihawi K,Sperandi F,Melotti B,Ardizzoni A

    更新日期:2018-01-01 00:00:00

  • Feasibility and efficacy of helical intensity-modulated radiotherapy for stage III non-small cell lung cancer in comparison with conventionally fractionated 3D-CRT.

    abstract:BACKGROUND:The standard treatment for stage III non-small-cell lung cancer (NSCLC) is still 60 Gy in conventional fractions combined with concurrent chemotherapy; however, the resulting local controls are disappointing. The aim of this study was to compare and assess the feasibility and efficacy of hypofractionated che...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.46

    authors: He J,Huang Y,Chen Y,Shi S,Ye L,Hu Y,Zhang J,Zeng Z

    更新日期:2016-05-01 00:00:00

  • Malignant transformation of alveolar adenoma to papillary adenocarcinoma: a case report.

    abstract::We present a case involving alveolar adenoma (AA) comprising a malignant component. An 83-year-old man was referred with a solitary pulmonary nodule, which was diagnosed as adenocarcinoma (AC) by transbronchial biopsy. Resected specimen after left S1+2 segmentectomy revealed that the tumor comprised two histologically...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2016.03.37

    authors: Okada S,Ohbayashi C,Nishimura M,Abe K,Choh S,Shimada J,Inoue M

    更新日期:2016-05-01 00:00:00

  • Ventilator-associated events: prevalence and mortality in Japan.

    abstract:Background:In 2013, the Centers for Disease Control and Prevention (CDC) issued the concept of the ventilator-associated events (VAEs) as a quality indicator (QI) in the intensive care unit (ICU). A number of studies have been conducted in the United States and other Western countries to evaluate its practicality. Howe...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.12.40

    authors: Nakahashi S,Imai H,Imanaka H,Ohshimo S,Satou T,Shima M,Yanagisawa M,Yamashita C,Ogura T,Yamada T,Shime N

    更新日期:2018-12-01 00:00:00

  • Limiting the risk of cardiac toxicity with esophageal-sparing intensity modulated radiotherapy for locally advanced lung cancers.

    abstract:BACKGROUND:Intensity modulated radiotherapy (IMRT) is routinely utilized in the treatment of locally advanced non-small cell lung cancer (NSCLC). RTOG 0617 found that overall survival was impacted by increased low (5 Gy) and intermediate (30 Gy) cardiac doses. We evaluated the impact of esophageal-sparing IMRT on cardi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.64

    authors: Woodford K,Panettieri V,Ruben JD,Senthi S

    更新日期:2016-05-01 00:00:00

  • The role of transcription factors in atrial fibrillation.

    abstract::Atrial fibrillation (AF) is a complex disease that results from genetic and environmental factors and their interactions. In recent years, genome-wide association studies (GWAS) and family-based linkage analysis have found amounts of genetic variants associated with AF. Some of them lie in coding sequences and thus me...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.01.21

    authors: Zhou M,Liao Y,Tu X

    更新日期:2015-02-01 00:00:00

  • Impact of cyclooxygenase-2 and prostaglandin-E2 expression on clinical outcome after pulmonary metastasectomy.

    abstract:BACKGROUND:Pulmonary metastasectomy (PM) is a standard procedure in the treatment of stage IV colorectal cancer (CRC). In most centers the indication for PM is solely based on clinical factors without taking the tumor biology into account. This results in diverse outcomes ranging from long-term remission to early recur...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.02.83

    authors: Lang C,Hrdliczka E,Schweiger T,Glueck O,Lewik G,Schwarz S,Benazzo A,Lang G,Klepetko W,Hoetzenecker K

    更新日期:2017-03-01 00:00:00

  • Comparison of the single-lumen endotracheal tube and double-lumen endobronchial tube used in minimally invasive cardiac surgery for the fast track protocol.

    abstract:BACKGROUND:Minimally invasive cardiac surgery (MICS) has been more commonly performed due to the reduced amount of bleeding and transfusion and length of hospital stay. We investigated the feasibility of performing MICS using single-lumen endotracheal tube (SLT). METHODS:We conducted a retrospective review of clinical...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.13

    authors: Kim HY,Baek SH,Je HG,Kim TK,Kim HJ,Ahn JH,Park SJ

    更新日期:2016-05-01 00:00:00

  • Determining the optimal puncture site of CT-guided transthoracic needle aspiration biopsy for the diagnosis of tuberculosis.

    abstract:Background:The purpose of this study was to determine the optimal puncture site of computed tomography (CT)-guided transthoracic needle aspiration biopsy for the diagnosis of tuberculosis (TB) by the comparison of clinical and radiological characteristics of TB patients stratified to different histopathological results...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-19-3293

    authors: Zhou Z,Dong Y,Li C,Wang D,Lv Y,Lv P,Pang Y

    更新日期:2020-08-01 00:00:00

  • Does an imbalance in circulating vascular endothelial growth factors (VEGFs) cause atrial fibrillation in patients with valvular heart disease?

    abstract:Background:The pathogenesis of atrial fibrillation (AF) remains unclear. Vascular endothelial growth factors (VEGFs) can stimulate fibrosis within the atrium and ventricle. We hypothesized that there is a relationship between the serum VEGFs/soluble vascular endothelial growth factor receptor (sVEGFRs) levels and AF in...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.11.32

    authors: Wang K,Liu Y,Huang S,Li H,Hou J,Huang J,Chen J,Feng K,Liang M,Chen G,Wu Z

    更新日期:2019-12-01 00:00:00

  • Radiomic analysis in T2W and SPAIR T2W MRI: predict treatment response to chemoradiotherapy in esophageal squamous cell carcinoma.

    abstract:Background:To investigate the capability of radiomic analysis using T2-weighted (T2W) and spectral attenuated inversion-recovery T2-weighted (SPAIR T2W) magnetic resonance imaging (MRI) for predicting the therapeutic response of esophageal squamous cell carcinoma (ESCC) to chemoradiotherapy (CRT). Methods:Pretreatment...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.03.123

    authors: Hou Z,Li S,Ren W,Liu J,Yan J,Wan S

    更新日期:2018-04-01 00:00:00

  • Preoperative predictors of lymph node metastasis in clinical T1 adenocarcinoma.

    abstract:Background:The subcategory "solid component of tumor" is a new criterion of tumor categories in the updated eighth edition of the TNM classification. Nevertheless, the predictors of lymph node metastasis among patients with clinical T1 adenocarcinoma, based on the TNM classification 8th edition, remain unclear. This st...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.03.74

    authors: Nakahashi K,Tsunooka N,Hirayama K,Matsuno M,Endo M,Akahira J,Taguri M

    更新日期:2020-05-01 00:00:00

  • Integrating primary care of chronic respiratory disease, cardiovascular disease and diabetes in Brazil: Practical Approach to Care Kit (PACK Brazil): study protocol for randomised controlled trials.

    abstract:Background:Multimorbidity is increasing common in Brazilian adults. Comorbid chronic lung disease, cardiovascular disease and diabetes are often inaccurately diagnosed or ineffectively treated. The Global Alliance against Chronic Respiratory Diseases (GARD) aims to strengthen health systems to prevent and control non-c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.07.34

    authors: Bachmann MO,Bateman ED,Stelmach R,Cruz ÁA,Pacheco de Andrade M,Zonta R,Zepeda J,Natal S,Cornick R,Wattrus C,Anderson L,Lombard C,Fairall LR

    更新日期:2018-07-01 00:00:00

  • In the era of ultrasound technology, could conventional trans-bronchial needle aspiration still play a role in lung cancer mediastinal staging?

    abstract:BACKGROUND:To evaluate the feasibility of a combined strategy including conventional-trans-bronchial needle aspiration biopsy (C-TBNA) and endobronchial ultrasounds transbronchial needle aspiration (EBUS-TBNA) for sampling mediastinal adenopathies in patients with lung cancer in order to determinate whether in the era ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.04.13

    authors: Fiorelli A,Santoriello C,Di Natale D,Cascone R,Musella V,Mastromarino R,Serra N,Vicidomini G,Polverino M,Santini M

    更新日期:2017-05-01 00:00:00

  • Detection, classification, and management of rejection after lung transplantation.

    abstract::Rejection is a major complication following lung transplantation. Acute cellular rejection, lymphocytic bronchiolitis, and antibody-mediated rejection (AMR) are all risk factors for the subsequent development of chronic lung allograft dysfunction (CLAD). Acute cellular rejection and lymphocytic bronchiolitis have well...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.03.83

    authors: Parulekar AD,Kao CC

    更新日期:2019-09-01 00:00:00

  • The nationwide program of allergic disease prevention as an implementation of GARD guidelines in Poland.

    abstract:Background:In 2006, the Global Alliance against Chronic Respiratory Diseases (GARD) was established. The GARD strategy is based mainly on activities aimed at implementing preventive tasks at a local and global level. In Poland, the National Health Program (NHP) is the strategic document describing the tasks of governme...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.08.97

    authors: Raciborski F,Samoliński B,Krzych-Fałta E,Grąbczewska A,Furman F,Bieszczad M,Morkisz P,Witkowska P,Bousquet J,Gujski M

    更新日期:2018-09-01 00:00:00