Abstract
Trans-cervical resection of posterior mediastinal goiters is usually very difficult, requiring a high thoracotomy. Until recently, using conventional video-assisted thoracoscopic surgery to resect such tumors has been technically difficult and unsafe. By virtue of 3 dimensional visualization, greater dexterity, and more accurate dissection, the Da Vinci robot, for the first time, enables a completely minimally invasive approach to the posterior superior mediastinum.
Highlights
Mediastinal goiters are goiters that extent beyond the thoracic outlet into the mediastinum
The desire to find a minimally invasive approach to posterior mediastinal tumors stems from increasing evidence that thoracoscopic surgery is associated with quicker recovery and less morbidity than open surgery
Evidence suggests that video-assisted thoracoscopic surgery (VATS) patients have significantly less early postoperative pain, fewer chest tube days, shorter hospital length of stay, and faster return to work [4,5]
Summary
Mediastinal goiters are goiters that extent beyond the thoracic outlet into the mediastinum. Most anterior mediastinal goiters are benign and can be removed through a cervical approach. Few anterior mediastinal goiters require a sternotomy as well for complete resection; those tumors are usually very large, aberrant, malignant, or found in patients undergoing re-operative thyroid surgery [2].
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