Back to 2025 Abstracts
Resection of Thymic Carcinoma With Stapled Innominate Venoplasty Using Single Port Robotic Platform
Mohsin E. Jawed, Diana Hsu, Neelesh Bagrodia, Desmond D'Souza.
Ohio State University Wexner Medical Center, Columbus, OH, USA.
OBJECTIVE: The single port (SP) platform has become increasingly utilized to perform robotic thoracic surgery. Here, we present the case of a 63 year old male with a 5.7cm anterior mediastinal mass that had dense adhesions to the innominate vein, requiring en bloc resection with stapled innominate venoplasty.
METHODS: A standard 4cm subxiphoid access incision was used to dock the SP robotic platform. Following unsuccessful attempts to dissect between the mass and vein, a handheld stapler was introduced at the right anterior axillary line in the 5th intercostal space. Two firings were required to perform a side-biting innominate venoplasty for en bloc resection of the mediastinal mass and portion of vein.
RESULTS: The mass was successfully removed with adequate hemostasis and without narrowing the innominate vein. The patient was discharged on postoperative day 1. Final pathology revealed pT1N0 thymic squamous cell carcinoma with transcapsular invasion into the perithymic fat. He is planned for adjuvant radiation.
CONCLUSIONS: Complex resections of anterior mediastinal masses as above are feasible on the SP robotic platform. With the recent approval of the SP 12mm robotic stapler in the United States, expanded use of the SP platform is enthusiastically anticipated in order to perform all maneuvers through the same incision.
Back to 2025 Abstracts
