%0 Journal Article
%T Robotic Surgery of the Mediastinum: A Review
%A Farid Gharagozloo
%J World Journal of Cardiovascular Surgery
%P 70-84
%@ 2164-3210
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcs.2022.123006
%X <strong>Background:</strong> <span style=\"font-family:;\" \"=\"\">The mediastinum is a complex anatomical region which
con</span><span style=\"font-family:;\" \"=\"\">tains many vital structures. Many aspects of
mediastinal surgery, like that for other<span> anatomic regions, have evolved from a maximally invasive approach</span> in<span>volving a </span><span>median
sternotomy, anterior mediastinotomy, mediastinoscopy or tho</span>racoto<span>my, to a minimally invasive video</span></span><span style=\"font-family:;\" \"=\"\">-</span><span style=\"font-family:;\" \"=\"\">assisted approach. Robotic surgery is</span><span style=\"font-family:;\" \"=\"\"> presently the most advanced form of minimally invasive surgery. <b>Methods:</b> We reviewed our experience with </span><span style=\"font-family:;\" \"=\"\">a </span><span style=\"font-family:;\" \"=\"\">robotic approach to mediastinal pathology. In
addition, </span><span style=\"font-family:;\" \"=\"\">an </span><span style=\"font-family:;\" \"=\"\">extensive search was conducted using PubMed</span><span style=\"font-family:;\" \"=\"\">,</span><span style=\"font-family:;\" \"=\"\"> in order to ex<span>tract
references for the application of robotics to surgical conditions of the</span> me<span>diastinum. <b>Results:</b> The first
robotic procedure by our group was a</span> mediastinal procedure in 2003. In
the past eighteen years, 203 patients have undergone robotic surgery for
mediastinal pathology.</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\">There
were 119 procedures for the <span>Anterior
Mediastinum, 33 procedures for the Middle Mediastinum, and 51</span><span> </span>pro</span><span style=\"font-family:;\" \"=\"\">cedures for the Posterior Mediastinum.
78 patients underwent robotic</span><span style=\"font-family:;\" \"=\"\"> thymecto</span><span style=\"font-family:;\" \"=\"\">my using a left</span><span style=\"font-family:;\" \"=\"\">-</span><span style=\"font-family:;\" \"=\"\">sided approach. 43/78 (55%) patients underwent
radical thy</span><span style=\"font-family:;\" \"=\"\">mectomy for Myasthenia Gravis. Thymoma was
histologically identified</span><span style=\"font-family:;\" \"=\"\"> in</span><span style=\"font-family:;\" \"=\"\"> 32% of
patients with Myasthenia Gravis. In pa<span>tients
with thymoma</span></span><span style=\"font-family:;\" \"=\"\">,</span><span style=\"font-family:;\" \"=\"\"> there was no tumor recurrence. In patients with</span><span style=\"font-family:;\" \"=\"\"> My</span><span style=\"font-family:;\"
%K Mediastinum
%K Robotic Surgery
%K Anterior Mediastinal Mass
%K Posterior Mediastinal Mass
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115969