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A 34-year-old non-hypertensive, obese female with a history of smoking, asthma, fibromyalgia presented at the ED with hemoptysis, dyspnea, and emesis for two weeks. At presentation the patient was afebrile, vital signs were stable and labs showed unremarkable CBC and BMP. Chest X-ray showed an abnormal soft tissue density within the subcarinal region. A follow-up chest CT with contrast revealed a posterior mediastinal mass measuring 5.4 cm x 3.6 cm in size with well-circumscribed borders. The patient was referred to cardiothoracic surgery for complete excision of the mass. She underwent robotic-assisted posterior mediastinal mass resection.
Robotic-assisted posterior mediastinal mass resection
Posterior mediastinal mass measuring 5.4 cm x 3.6 cm in size with well-circumscribed borders
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Robotic setup with patient in left lateral decubitus position
Upper endoscopic ultrasound, computed tomography, x-ray imaging
Right lung, esophagus, vagus nerve, bronchus intermedius and carina, left main stem
Advantage: Minimally invasive surgery with a high degree of visualization and instrument control
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Disclosure of Conflicts:
Inderpal Sarkaria and Matthew Vercauteren have teaching, training, and/or consulting relationship with Intuitive Surgical (Sunnyvale, CA, US) and Cambridge Medical Robotics (Cambridge, UK). None of the other authors have any conflicting interests.
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Review Robotic-Assisted Posterior Mediastinal Mass Resection.