Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report

BMC Surgery
Hiroaki ShideiMasato Kanzaki

Abstract

Robot-assisted thoracoscopic surgery (RATS) is useful for surgery in the apical region of the chest cavity, as it narrows towards the head. Here, we describe a nonfunctional, rib-invasive paraganglioma arising in the posterior mediastinum that was successfully removed using RATS combined with chest wall resection. A 31-year-old woman presented with a posterior mediastinal mass on chest computed tomography (CT) scan during a medical check-up 2 years prior. Positron emission tomography/computed tomography scan with F-18 fluorodeoxyglucose revealed a mass associated with standardized uptake maximum value of 2.69. With a preoperative diagnosis of neurogenic tumor by CT-guided percutaneous fine-needle aspiration biopsy, we performed robot-assisted tumor resection combined with chest wall resection. The wristed instruments of the robotic surgical system have increased range of motion and enabled the tumor resection without organ injury in the thoracic cavity. Histopathology examination revealed a non-functional paraganglioma with rib invasion. RATS is a useful technique, enabling safer and easier resection of a mediastinal tumor adjacent to surrounding organs.

References

Feb 28, 2003·The Annals of Thoracic Surgery·François PonsRené Jancovici
Jul 16, 2003·Journal of Pediatric Surgery·Jason A SpectorHoward B Ginsburg
Apr 2, 2005·Surgical Endoscopy·C ArapisD Grunenwald
Oct 16, 2008·General Thoracic and Cardiovascular Surgery·Yasushi SakamakiTetsuo Kido
Feb 14, 2014·Endocrine-related Cancer·Noriko KimuraMitsuhide Naruse
Jul 7, 2019·Seminars in Thoracic and Cardiovascular Surgery·Takashi SudaYasushi Hoshikawa

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Methods Mentioned

BETA
biopsy
surgical resection

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