Roboter-assistierte Mediastinalchirurgie

Zusammenfassung

Innerhalb der Thoraxchirurgie ist die mediastinale Chirurgie traditionell besonders anspruchsvoll hinsichtlich vieler entscheidender anatomischer Strukturen auf sehr engem Raum. Die Raumforderungen des Mediastinums sind sehr verschiedenartig und bilden im vorderen, mittleren oder hinteren Mediastinum mit differenten Schwerpunkten Indikationen zur operativen Therapie. Die technischen Möglichkeiten der Roboterassistenz können dabei das Erfordernis der Präzision für alle onkologischen Aspekte am besten unterstützen. Am häufigsten sind Operationen im vorderen Mediastinum mit dem Schwerpunkt der Thymektomie. Dabei ist die Radikalität von besonderer Bedeutung. Die weltweite rasante Entwicklung der roboterassistierten mediastinalen Chirurgie bestätigt deren initiale und kontinuierliche Schrittmacherrolle für die minimalinvasive Thoraxchirurgie.

Abstract

Because of the many important anatomical structures located closely together at very small distances, mediastinal surgery has been traditionally demanding and challenging within thoracic surgery. With their great variability, mediastinal masses in the anterior, middle or posterior mediastinal compartment result in surgical indications with different principle focuses. The technical opportunities of robotic assistance can thereby most effectively support the requirement of precision for all oncological aspects. Anterior mediastinal operations are most often performed, thymectomy being the most common operation. The radicality of thymectomy is of special importance. The worldwide tremendous development of robot-assisted mediastinal surgery confirms its initial and continuous role as a pacemaker for minimally invasive thoracic surgery.

Schlüsselwörter

Roboterchirurgie - robotische Mediastinalchirurgie - robotische Thymektomie - Thymom - MG - posteriorer Mediastinaltumor

Keywords

robotic surgery - robotic Mediastinal Surgery - robotic thymectomy - thymoma - MG - posterior mediastinal tumor

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