Hybrid robotic lobectomy with thoracic wall resection for superior sulcus tumor.

Journal: General thoracic and cardiovascular surgery
Published Date:

Abstract

A major challenge in treating superior sulcus tumors is achieving complete surgical resection because of technical difficulties associated with the anatomical structures and approaches to the thorax. Our technique combines posterior minimally invasive thoracotomy with robot-assisted right upper lobectomy, thereby reducing the invasiveness of the surgical approach and postoperative complications, including wound pain. In the presented case, the tumor was located on the apical right upper lobe, directly invading the apical thoracic wall structures. Hybrid robotic and minimally invasive thoracotomy with thoracic wall resection was performed. The postoperative course was uneventful. The patient discharged from our hospital with minimal wound pain.

Authors

  • Shinsuke Uchida
    Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan. s-uchida@juntendo.ac.jp.
  • Kenji Suzuki
    Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
  • Mariko Fukui
    Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Aritoshi Hattori
    Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Takeshi Matsunaga
    Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Kazuya Takamochi
    Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan. Electronic address: ktakamo@juntendo.ac.jp.