We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

  • 759
  • 2016-06-13

Complex robotic resection of a large middle mediastinal thymoma

Epublication WebSurg.com, Jun 2016;16(06). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
A 62-year-old man had an asymptomatic middle mediastinal tumor with a 4.5cm diameter, opposite to the superior vena cava and the azygos vein in the Barety’s space, which was discovered on thoracic CT-scan performed during an urothelial tumor follow-up. Past history includes an urothelial carcinoma grade I treated with transurethral cystectomy, an ischemic cardiopathy with a single medical treatment, a prostate hypertrophy, and a sigmoid diverticulosis. After a multidisciplinary review of the case, a mediastinoscopy was performed. It demonstrated the presence of a thymoma. The patient was well informed of the operative risks and of the possibility of conversion, but thanks to our experience and national recommendations, we were able to perform a radical robotic assisted thymectomy. The operation took during 3 hours with less than 100cc of bleeding. The postoperative course was uneventful and the patient was discharged on postoperative day 3. Histopathological analysis showed a type AB thymoma according to the OMS 2015 classification. The staging was IIb according to Masaoka. No adjuvant radiotherapy was indicated.