Complex robotic resection of a large middle mediastinal thymoma
Epublication WebSurg.com, Jun 2016;16(06). URL: http://websurg.com/doi/vd01en4721
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.