Abstract:
Objective
To investigate the feasibility and security of da Vinci surgical system in the treatment of anterior mediastinal tumor.
Methods
Department of Thoracic Surgery, Chinese PLA General Hospital From May 2015 to Apr. 2016, we prformed resection of mediastinal tumor 35 patients totally using da Vinci surgical system.Among the cases, the tumor was detected in the anterior mediastinum in 35 patients. Three ports were used in our procedure. The left mechanical arm for forceps.The right mechanical arm for electrocautery, and the ultrasonic scalpel will be changed when it needed, The middle hole for observation.Total thymectomy was performed on the patients with anterior mediastinal tumor.The operation time, intraoperative blood loss and other statistical analysis were carried out, and the body position of the patients and how to select the appropriate surgical incision were analyzed.
Results
The procedure was completed in all the 35 patients within (100.9 ± 38.6)min.The blood loss was (30.1 ± 23.6)ml.Postoperative chest drainage volume of 24 h (132.2 ± 58.3) ml, postoperative hospitalization time (4.4 ± 2.1) d. No patient died or was converted to open surgery. Postoperative pathology showed 30 cases of thymoma, thymic cyst in 3 cases, thymic hyperplasia in 2 cases.
Conclusions
Da Vinci surgical system is feasible and safe for resection of anterior mediastinal tumor.
Key words:
Robotic assisted surgery,
Thymectomy,
Precise medicine
Yongfu Ma, Bo Yang, Ming Zhao, Jian Chu, Shuai Jin, Nannan Guo, Jie Li, Tao Zhang, Juntang Guo, Chaoyang Liang, Yang Liu. Da Vinci surgical system for total thymectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(02): 74-76.