Alper GÖZÜBÜYÜK, Sedat GÜRKÖK, Ersin SAPMAZ, Okan KARATAŞ

Benign mediastinal lezyonlara robotik yaklaşım

Amaç: Bu çalışmada, robotik cerrahi sistem ile eksize edilen benign mediastinal lezyonlarla ilgili deneyimlerimiz sunuldu.Ça lış ma pla nı: Ocak 2014 - Haziran 2015 tarihleri arasında robotik eksizyon uygulanan mediastinal lezyonlu 14 hastanın (11 erkek, 3 kadın; ort. yaş 39 yıl; dağılım 20-76 yıl) tıbbi kayıtları geriye dönük olarak incelendi. Tüm hastaların yaşı, cinsiyeti, cerrahi tedavi endikasyonu, histopatolojik tanısı, robotik cerrahi ile ilgili değişkenleri, ameliyat sonrası komplikasyonları ve hastanede kalış süreleri kaydedildi.Bul gu lar: Hiçbir hastada açık cerrahiye geçmeye gerek olmadı. Ortalama konsül süresi 71 dakika (dağılım 10-140 dakika) idi. Göğüs tüpleri cerrahiden sonra ortalama iki gün (dağılım 1-5 gün) içinde çıkartıldı. Ortalama hastanede kalış süresi üç gün idi. Bir hastada sağ rekürren larengeal sinir hasarına bağlı olarak vokal kord paralizisi gelişti.So nuç: Benign mediastinal lezyonların robotik yaklaşım ile eksizyonu uygulanabilir, güvenli ve etkili bir yöntemdir. Özellikle öğrenme eğrisi döneminde olan göğüs cerrahlarının radyolojik olarak benign karakterli mediastinal lezyonların eksizyonunda sağ taraflı yaklaşımı tercih etmesini öneriyoruz.

Robotic approach to benign mediastinal lesions

Background: This study aims to report our experience regarding benign mediastinal lesions excised with robotic surgical system.Methods: Medical records of 14 patients (11 males, 3 females; mean age 39 years; range 20 to 76 years) with mediastinal lesion who were performed robotic excision between January 2014 and June 2015 were reviewed retrospectively. All patients' age, sex, indication of surgical treatment, histopathologic diagnosis, variables of robotic surgery, postoperative complications, and duration of hospital stay were recorded.Results: No patient required conversion to open surgery. Mean console time was 71 minutes (range 10 to 140 minutes). Chest tubes were removed within two days (range 1 to 5 days) after surgery. Mean duration of hospital stay was three days. Vocal cord paralysis due to right recurrent laryngeal nerve injury occurred in one patient.Conclusion: Excision of benign mediastinal lesions with robotic approach is a feasible, safe, and effective method. We recommend thoracic surgeons, especially the ones in learning curve period, to prefer right sided approach for the excision of radiologically benign mediastinal lesions.

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