Robotic resection of a superior sulcus neurogenic tumor

Duy C. Nguyen, Cameron Garagozlo, Mohammad Moslemi, Badi Rawashdeh, Mark Meyer, Barbara J. Tempesta, Robert Poston, Farid Gharagozloo

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Neurogenic tumors do not often occur in the superior sulcus or apex of the chest cavity. Historically, surgical approaches have been dictated by the location of the tumor and its relation to the contiguous structures such as the vertebral bodies, subclavian vessels, and chest wall. Resection is hampered by difficulties with visualization and access within a narrow working space. The shortcomings associated with the traditional surgical approaches create a potential of injury to nearby structures. We present a case of a 43-year-old woman with a superior sulcus neurogenic tumor impinging on the left subclavian vein, who underwent a successful resectionwithout injury to nearby structures. We found that a robotic approach improved visualization of the tumor and nearby structures and increased instrument maneuverability relative to a thoracoscopic approach, along with less pain and recovery time compared with a thoracotomy. This experience suggests that robotics provides a promising alternative for excision of superior sulcus neurogenic tumors, which may reduce associated morbidity.

Original languageEnglish (US)
Pages (from-to)142-145
Number of pages4
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume10
Issue number2
DOIs
StatePublished - Mar 4 2015

Keywords

  • Neurogenic tumor
  • Robotic surgery
  • Schwannoma
  • Superior sulcus
  • Thoracic
  • Thoracic outlet

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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