Robotic Resection Of Bronchogenic Cyst With Diaphragm Plication
Nguyen M. Le, MD, Vijay A. Singh, MD.
Hofstra Northwell School of Medicine, New York, NY, USA.
OBJECTIVE: This video demonstrates a robotic-assisted posterior mediastinal mass resection that included a diaphragm plication to close the defect after removal of the mass.
METHODS: A 53-year-old female presented with an incidental posterior mediastinal mass during workup of her uterine fibroids. She denied any chest pains, respiratory symptoms, fevers or chills. CT scan demonstrated a 4.1 x 2.4 x 1.7 cm well defined soft tissue lesion within the left posterior mediastinum abutting the left medial diaphragm. There was no evidence of any lymphadenopathy. The procedure was approached from the left with the patient in right lateral decubitus. Four ports were used - three for the robot and one access port. A robotic-assisted resection of a posterior mediastinal mass was performed with closure of the diaphragmatic defect without complication.
RESULTS: Final pathology revealed benign bronchogenic cyst. She was discharged on POD1. Six-month follow-up CT has demonstrated no recurrence on imaging.
CONCLUSIONS: Robotic-assisted resection of a bronchogenic cyst with closure of a diaphragmatic defect is safe and feasible.
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