左上縦隔腫瘍に対するロボット支援下手術

Successful Robotic Resection of Left Upper Mediastinal Tumor

縦隔腫瘍に対するロボット支援下手術の報告の多くは前縦隔または後縦隔腫瘍に対するものであり，上縦隔腫瘍に実施した報告は少ない．われわれは，重要な血管や神経が近接する左上縦隔腫瘍に対してロボット支援下手術を行い，安全かつ低侵襲に腫瘍を摘出した症例を経験したので報告する．

A man was diagnosed with a left upper mediastinal mass. The mass was located near the left subclavian vein, phrenic nerve, vagus nerve, left subclavian artery, and left brachiocephalic vein. He underwent a robotic surgery without additional approaches such as cervical approach on transmanubrial approach. Robotic surgery enabled to remove the tumor safely due to the highly flexible robot forceps under a 3-dimensional visual field. Robotic surgery may be effective for tumors in the upper mediastinum, where important blood vessels and nerves are closely present.