Chest wall resection with robotic-assisted thoracoscopic surgery for a Pancoast tumour : a case report
© The Author 2024. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved..
We describe a rare procedure involving near-total robotic-assisted thoracoscopic surgery resection of a right posterior Pancoast tumour. Four ports and an assistant port were used. The DaVinci X system was used. The lobectomy was performed first to allow for adequate exposure to the apex and spine. The lateral aspect of ribs 1 to 4 was resected next, and the extrathoracic space was entered. Dissection proceeded through this space superiorly up to the level of the scapula and then posteriorly towards the spine. The second to the fifth ribs were dissected off the chest wall and resected medially off the spine at the rib heads. Further postero-superior exploration revealed the tumour to be invading the transverse process of the second rib, with ill-defined margins. Because of this development, and with the support of the spinal surgeons, a small high posterior thoracotomy was performed to complete the procedure and remove the specimen en bloc. The postoperative recovery was uneventful, and the patient was discharged on post-operative day 5. The final histological report confirmed a squamous non-small-cell lung cancer (pT3N0M0) with negative margins (R0). Asymptomatic recurrence was noted near the margin of the second rib resection posteriorly 1 year postoperatively and was successfully treated with radiotherapy.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:2024 |
|---|---|
| Enthalten in: |
Multimedia manual of cardiothoracic surgery : MMCTS - 2024(2024) vom: 25. März |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Mandishona, Tarisai [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Case Reports |
|---|
| Anmerkungen: |
Date Completed 26.03.2024 Date Revised 26.03.2024 published: Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1510/mmcts.2023.063 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM370160916 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM370160916 | ||
| 003 | DE-627 | ||
| 005 | 20240327000406.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240326s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1510/mmcts.2023.063 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1349.xml |
| 035 | |a (DE-627)NLM370160916 | ||
| 035 | |a (NLM)38526520 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Mandishona, Tarisai |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Chest wall resection with robotic-assisted thoracoscopic surgery for a Pancoast tumour |b a case report |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 26.03.2024 | ||
| 500 | |a Date Revised 26.03.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author 2024. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. | ||
| 520 | |a We describe a rare procedure involving near-total robotic-assisted thoracoscopic surgery resection of a right posterior Pancoast tumour. Four ports and an assistant port were used. The DaVinci X system was used. The lobectomy was performed first to allow for adequate exposure to the apex and spine. The lateral aspect of ribs 1 to 4 was resected next, and the extrathoracic space was entered. Dissection proceeded through this space superiorly up to the level of the scapula and then posteriorly towards the spine. The second to the fifth ribs were dissected off the chest wall and resected medially off the spine at the rib heads. Further postero-superior exploration revealed the tumour to be invading the transverse process of the second rib, with ill-defined margins. Because of this development, and with the support of the spinal surgeons, a small high posterior thoracotomy was performed to complete the procedure and remove the specimen en bloc. The postoperative recovery was uneventful, and the patient was discharged on post-operative day 5. The final histological report confirmed a squamous non-small-cell lung cancer (pT3N0M0) with negative margins (R0). Asymptomatic recurrence was noted near the margin of the second rib resection posteriorly 1 year postoperatively and was successfully treated with radiotherapy | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Video-Audio Media | |
| 650 | 4 | |a Chest wall resection | |
| 650 | 4 | |a Lung cancer | |
| 650 | 4 | |a Pancoast tumor | |
| 650 | 4 | |a Robotic-assisted surgery | |
| 700 | 1 | |a Asemota, Nicole |e verfasserin |4 aut | |
| 700 | 1 | |a Alqudah, Obadah |e verfasserin |4 aut | |
| 700 | 1 | |a Saad, Haisam |e verfasserin |4 aut | |
| 700 | 1 | |a Fuentes-Warr, Joanna |e verfasserin |4 aut | |
| 700 | 1 | |a Rhodes, Lydia |e verfasserin |4 aut | |
| 700 | 1 | |a Kouritas, Vasileios |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Multimedia manual of cardiothoracic surgery : MMCTS |d 2003 |g 2024(2024) vom: 25. März |w (DE-627)NLM231879121 |x 1813-9175 |7 nnns |
| 773 | 1 | 8 | |g volume:2024 |g year:2024 |g day:25 |g month:03 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1510/mmcts.2023.063 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 2024 |j 2024 |b 25 |c 03 | ||