Robotic First Rib And Posterior Mediastinal Mass Resection
Nguyen M. Le, MD, Amie Kent, MD, Kevin Cunningham, PA-C, Vijay Singh, MD, Kevin Hyman, MD, David Zeltsman, MD, Lawrence Glassman, MD, Paul C. Lee, MD.
Northwell Health, New York, NY, USA.
OBJECTIVE: The video demonstrates a robotic-assisted first rib resection with a concurrent resection of a posterior mediastinal mass.
METHODS: A 57-year-old female presented with thoracic outlet syndrome on the left side with an incidental posterior mediastinal mass. She had symptoms of heaviness, numbness and coldness in her left upper extremity which were associated with position of her arm. CT demonstrated a 1.3 cm enhancing structure located between the proximal left subclavian and vertebral arteries. The procedure was approached from the left with the patient in right lateral decubitus. Five ports was used - four for the robot and one access port. A Kerrison rib cutter was used to cut the rib. A robotic-assisted first rib resection with concurrent resection of a posterior mediastinal mass was performed without complication.
RESULTS: Final pathology of the mass is pending. She was discharged on POD1.
CONCLUSIONS: Robotic-assisted first rib resection with concurrent resection of a posterior mediastinal mass is safe and feasible.
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