Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report
Abstract Background 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...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12893-020-00701-2 |
| _version_ | 1818259482127368192 |
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| author | Hiroaki Shidei Hideyuki Maeda Tamami Isaka Takako Matsumoto Tomoko Yamamoto Yoji Nagashima Masato Kanzaki |
| author_facet | Hiroaki Shidei Hideyuki Maeda Tamami Isaka Takako Matsumoto Tomoko Yamamoto Yoji Nagashima Masato Kanzaki |
| author_sort | Hiroaki Shidei |
| collection | DOAJ |
| description | Abstract Background 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. Case presentation 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. Conclusions RATS is a useful technique, enabling safer and easier resection of a mediastinal tumor adjacent to surrounding organs. |
| first_indexed | 2024-12-12T18:16:08Z |
| format | Article |
| id | doaj.art-8fc22977a8b2447e9b615c684a5409ce |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-12T18:16:08Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-8fc22977a8b2447e9b615c684a5409ce2022-12-22T00:16:15ZengBMCBMC Surgery1471-24822020-03-012011510.1186/s12893-020-00701-2Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case reportHiroaki Shidei0Hideyuki Maeda1Tamami Isaka2Takako Matsumoto3Tomoko Yamamoto4Yoji Nagashima5Masato Kanzaki6Department of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Surgical Pathology, Tokyo Women’s Medical UniversityDepartment of Surgical Pathology, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityAbstract Background 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. Case presentation 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. Conclusions RATS is a useful technique, enabling safer and easier resection of a mediastinal tumor adjacent to surrounding organs.http://link.springer.com/article/10.1186/s12893-020-00701-2Mediastinal tumorRobot-assisted thoracoscopic surgeryParaganglioma |
| spellingShingle | Hiroaki Shidei Hideyuki Maeda Tamami Isaka Takako Matsumoto Tomoko Yamamoto Yoji Nagashima Masato Kanzaki Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report BMC Surgery Mediastinal tumor Robot-assisted thoracoscopic surgery Paraganglioma |
| title | Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report |
| title_full | Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report |
| title_fullStr | Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report |
| title_full_unstemmed | Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report |
| title_short | Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report |
| title_sort | mediastinal paraganglioma successfully resected by robot assisted thoracoscopic surgery with en bloc chest wall resection a case report |
| topic | Mediastinal tumor Robot-assisted thoracoscopic surgery Paraganglioma |
| url | http://link.springer.com/article/10.1186/s12893-020-00701-2 |
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