A robotic-assisted Pancoast tumour resection.

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-05-29 DOI:10.1510/mmcts.2025.014

Anam Ali, Aishah Zubaid Mughal, Ahmed Oliemy, Ahmed M Habib

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Abstract

Pancoast tumours, a rare subset of superior sulcus tumours, arise at the apex of the lung and pose significant surgical challenges due to their anatomical location and propensity to invade adjacent critical structures, including the brachial plexus, subclavian vessels and the thoracic spine. Historically, these tumours were considered inoperable, but advancements in multimodal treatment, including neoadjuvant chemoradiotherapy followed by surgical resection, have improved survival rates. Conventional open surgical techniques are associated with significant morbidity, prolonged recovery and suboptimal visualization of critical structures. Robotic-assisted thoracic surgery, particularly with the da Vinci Xi surgical system, offers enhanced three-dimensional visualization, dexterity and precision in confined spaces, potentially transforming the surgical management of these complex resections. This video tutorial explores the application of a robotic-assisted Pancoast tumour resection using the da Vinci Xi platform, focusing on perioperative management and patient outcomes.

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机器人辅助的Pancoast肿瘤切除术。

Pancoast肿瘤是一种罕见的上沟肿瘤，起源于肺的顶端，由于其解剖位置和倾向于侵犯邻近的关键结构，包括臂丛、锁骨下血管和胸椎，给手术带来了重大挑战。从历史上看，这些肿瘤被认为是不能手术的，但多模式治疗的进步，包括手术切除后的新辅助放化疗，提高了生存率。传统的开放手术技术与显著的发病率、长时间的恢复和关键结构的不理想可视化相关。机器人辅助胸外科手术，特别是达芬奇Xi手术系统，在受限空间提供了增强的三维可视化、灵活性和精度，有可能改变这些复杂切除的手术管理。本视频教程探讨了机器人辅助Pancoast肿瘤切除使用达芬奇Xi平台的应用，重点是围手术期管理和患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.