2023 World Conference on Lung Cancer (Posters)-EP14.01. Three-port Robot-assisted Thoracoscopic Surgery for Mediastinal Tumor with “Confronting View” at Our Hospital

EP14.01. Three-port Robot-assisted Thoracoscopic Surgery for Mediastinal Tumor with “Confronting View” at Our Hospital - PDF(Abstract)

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This abstract discusses the use of three-port robot-assisted thoracoscopic surgery (RATS) with a "confronting view" technique for the treatment of mediastinal tumors. The authors describe their experience with this approach, which involves placing the robotic ports vertically along the posterior axillary line for right-side operations. <br /><br />The study included a retrospective analysis of 23 patients who underwent three-port RATS for mediastinal tumors between October 2019 and December 2022. The results showed that all of the procedures were completed safely, with no conversions to emergent thoracotomy. The average operation time was 186 minutes, the mean blood loss was 35 ml, and the average length of postoperative hospitalization was 3 days. <br /><br />The majority of the cases involved thymus-related pathologies, such as thymoma, thymic cancer, thymic hyperplasia, or thymic cyst. The authors highlight several advantages of the "confronting view" technique, including familiarity with the surgical view for the console surgeon, thorough observation of the intrathoracic structure, and the ability to avoid cutting open the mediastinal pleura on the opposite side. <br /><br />The authors state that with more experience and further improvement, they plan to expand the use of three-port RATS to include total mediastinal tumor resection combined with the surrounding tissues. Overall, this study suggests that three-port RATS with a "confronting view" technique is a safe and effective approach for treating mediastinal tumors.

Asset Subtitle

Yosuke Hamada

Meta Tag

Speaker Yosuke Hamada

Topic Mesothelioma, Thymoma & Other Thoracic Tumors

Keywords

robot-assisted thoracoscopic surgery

mediastinal tumors

confronting view technique

retrospective analysis

thymoma

thymic cancer

thymic hyperplasia

thymic cyst

surgical view

safe and effective approach