机器人辅助神经鞘瘤切除日间手术一例报道

Robot-assisted day surgery for schwannoma resection:a case report

神经鞘瘤是一种常见的后纵隔占位性病变,通常发生于脊神经根,具有一定的恶变可能性。临床上对于后纵隔占位性病变,若无禁忌证,均应考虑外科治疗。手术方式根据肿瘤的大小和位置分为开胸手术以及胸腔镜手术。尽管后纵隔肿瘤切除术通常被认为是一种安全的、低风险的手术,但患者术后仍需要住院观察。随着手术机器人技术的开发,机器人辅助手术可以保护周围组织减少术后出血的可能性,以达到日间手术的标准。本文介绍了一例接受机器人辅助后纵隔肿瘤切除日间手术的患者,手术效果满意,患者在24h内顺利出院。

Schwannoma is a common posterior mediastinal space-occupying lesion,usually occurring in spinal nerve roots,with a certain possibility to malignancy.Clinically,surgical treatment should be considered for schwannoma if no contraindications found.Open surgery or video-assisted thoracoscopic surgery(VATS)could be performed based on the size and location of the tumor.Although posterior mediastinal tumor resection is generally safe and low-risk,patients still need to be hospitalized after surgery for observation.With the development of surgical robotic technology,schwannoma could be completely removed while protecting surrounding tissues and reducing postoperative bleeding,which could meet the standard of day surgery.A patient who underwent robot-assisted day surgery for schwannoma resection was reported in this article,and the patient was discharged within 24 hours with satisfactory outcome.