초록접수 현황
| 19F-133 | 구연 발표 |
Robotic Subxiphoid Thymectomy for Anterior Mediastinal Mass: Early Clinical Outcomes of 100 Consecutive Patients
Kwon Joong Na, Chang Hyun Kang, Samina Park, In Kyu Park, Young Tae Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
Purpose : Robotic subxiphoid thymectomy for anterior mediastinal mass has been increasingly adopted in many centers due to its excellent visualization of upper thymic poles and phrenic nerves. We sought to evaluate the early clinical outcomes after robotic subxiphoid thymectomy.
Methods : A 3-cm longitudinal incision was made below the xiphoid process, and bilateral pleura was opened under thoracoscopic assistance through this incision. Additional two ports for robotic arms are made in bilateral 5th intercostal space, between the midclavicular and anterior axillary line. A third robotic arm was sometimes placed in the 2nd or 3rd intercostal space if the complex procedure was required for complete resection including procedures on adjacent structures. We evaluated clinical characteristics and early clinical outcomes from the prospectively-collected database.
Results : From 2016 to 2019, 100 consecutive patients (51.9±15.0 years; male:female=51:49) underwent robotic subxiphoid thymectomy for anterior mediastinal mass. The median operative time was 115.0 minutes (50.0-340.0). There was one conversion case due to the mass closely adherent to the superior vena cava. The combined resection of adjacent organs were performed in 10 patients (10.0%)–pericardium (n=5), lung (n=6), phrenic nerve (n=3), and innominate vein (n=7). The median length of stay was 2 days (1-7). There was no operative mortality and there were two minor complications. The visual analog pain score at postoperative two weeks and postoperative 3-6 months were 1.35±1.61 and 0.34±0.91, respectively.
Conclusion : Our results indicate that robotic subxiphoid thymectomy is a technically sound and safe procedure with a low complication rate, a short hospital stay, and a low postoperative pain.
Methods : A 3-cm longitudinal incision was made below the xiphoid process, and bilateral pleura was opened under thoracoscopic assistance through this incision. Additional two ports for robotic arms are made in bilateral 5th intercostal space, between the midclavicular and anterior axillary line. A third robotic arm was sometimes placed in the 2nd or 3rd intercostal space if the complex procedure was required for complete resection including procedures on adjacent structures. We evaluated clinical characteristics and early clinical outcomes from the prospectively-collected database.
Results : From 2016 to 2019, 100 consecutive patients (51.9±15.0 years; male:female=51:49) underwent robotic subxiphoid thymectomy for anterior mediastinal mass. The median operative time was 115.0 minutes (50.0-340.0). There was one conversion case due to the mass closely adherent to the superior vena cava. The combined resection of adjacent organs were performed in 10 patients (10.0%)–pericardium (n=5), lung (n=6), phrenic nerve (n=3), and innominate vein (n=7). The median length of stay was 2 days (1-7). There was no operative mortality and there were two minor complications. The visual analog pain score at postoperative two weeks and postoperative 3-6 months were 1.35±1.61 and 0.34±0.91, respectively.
Conclusion : Our results indicate that robotic subxiphoid thymectomy is a technically sound and safe procedure with a low complication rate, a short hospital stay, and a low postoperative pain.
책임저자: Chang Hyun Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
발표자: Kwon Joong Na, E-mail : kjna85@gmail.com