ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2026
Staged Transmediastinal Drainage Followed by Robot-Assisted Thoracoscopic Resection for a Giant Anterior Mediastinal Cystic Teratoma: A Case Report.
Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Giant cystic anterior mediastinal tumors pose a significant challenge for minimally invasive surgery because of limited working space and the risk of cyst rupture. A 26-year-old woman presented with a large anterior mediastinal cystic tumor strongly suggestive of a benign lesion on imaging. To secure an adequate operative field and reduce the risk of intraoperative rupture, computed tomography-guided transmediastinal drainage was performed preoperatively. Tumor volume reduction improved surgical exposure and maneuverability and reduced the risk of rupture, enabling robot-assisted thoracoscopic surgery. Despite dense inflammatory adhesions between the tumor and surrounding tissues, precise dissection was achieved with robotic assistance, allowing complete tumor resection without rupture. This case suggests that a staged strategy combining preoperative drainage and robotic surgery may represent a safe and effective minimally invasive approach for selected patients with giant benign mediastinal cystic tumors.
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