Management of a Large Hypervascular Apicoposterior Mediastinal Mass Using the Purse-String Suture Technique in Robotic-Assisted Thoracoscopic Surgery: A Case Report.

Q4 Medicine Journal of Chest Surgery Pub Date : 2024-01-05 Epub Date: 2023-11-06 DOI:10.5090/jcs.23.058
Juan Kim, Jonggeun Lee, Hyo Yeong Ahn
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引用次数: 0

Abstract

Complete resection of an apicoposterior mediastinal mass is essential due to the mass effect, which exerts pressure on adjacent organs. Recently, the use of minimally invasive surgery has had many advantages. In this report, we describe a case in which a large apicoposterior mediastinal hypervascular mass was managed using a purse-string suture technique during robotic-assisted thoracoscopic surgery (RATS). The patient, a 77-year-old woman, was diagnosed with a 6.2-cm apicoposterior mediastinal hypervascular solid mass originating from the branches of the right subclavian artery. The patient underwent RATS for treatment. To obtain an adequate view of the apex of the thoracic cavity, a needle aspiration was performed, followed by the application of a purse-string suture technique. This was done to reduce the size of the tumor and to prevent catastrophic events such as seeding or spillage of the cystic mass. The mass was histopathologically diagnosed as a schwannoma. The patient was discharged on the first postoperative day without experiencing any complications.

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机器人辅助胸腔镜手术中应用马齿线缝合技术治疗大的血管性顶后纵隔肿块:一例报告。
完全切除顶后纵隔肿块是至关重要的,因为肿块效应会对邻近器官施加压力。近年来,微创手术的应用有许多优点。在本报告中,我们描述了一个案例,在机器人辅助胸腔镜手术(RATS)中,使用荷包缝合技术处理了一个巨大的顶后纵隔血管瘤。患者是一名77岁的女性,被诊断为右锁骨下动脉分支的顶后纵隔血管丰富的6.2厘米固体肿块。患者接受了RATS治疗。为了充分观察胸腔尖端,进行了针头抽吸,然后应用荷包缝合技术。这样做是为了缩小肿瘤的大小,防止囊性肿块的播种或溢出等灾难性事件。该肿块经组织病理学诊断为神经鞘瘤。患者在术后第一天出院,没有出现任何并发症。
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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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