Surgery Today

, Volume 49, Issue 1, pp 96–98 | Cite as

Robot-assisted single-port surgery for mediastinal tumors

  • Norihiko IshikawaEmail author
  • Makoto Oda
  • Kenji Kawachi
  • Go Watanabe
How To Do It


We successfully performed totally endoscopic single-port robotic surgery. A 50-year-old man with a mediastinal tumor underwent robot-assisted tumor resection. Only one port was placed on the right side of the chest, and a robotic endoscope and two robotic instruments were inserted through the port. The instruments were crossed while avoiding collision. Single-port robotic surgery for a mediastinal tumor using the cross-arm technique was safely achieved with good clinical results and excellent cosmetic results.


Robotics Minimally invasive surgery VATS Mediastinal tumor Incisions 


Compliance with ethical standards

Conflict of interest

Norihiko Ishikawa and the other co-authors have no conflicts of interest associated with this study.


  1. 1.
    Kazuo Koyanagi S, Ozawa, Yuji Tachimori. Minimally invasive esophagectomy performed with the patient in a prone position: a systematic review. Surg Today. 2016;46:275–84.CrossRefGoogle Scholar
  2. 2.
    Obama K, Sakai Y. Current status of robotic gastrectomy for gastric cancer. Surg Today. 2016;46:528–34.CrossRefGoogle Scholar
  3. 3.
    Nesher N, Galili R, Sharony R, Uretzky G, Saute M. Videothoracoscopic sympathectomy (VATS) for palmar hyperhidriosis: summary of a clinical trial and surgical results. Harefuah. 2000;138:913–6.PubMedGoogle Scholar
  4. 4.
    Ng CS, Lau KK, Gonzalez-Rivas D, Rocco G. Evolution in surgical approach and techniques for lung cancer. Thorax. 2013;68:681.CrossRefGoogle Scholar
  5. 5.
    Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg. 2004;77:726–8.CrossRefGoogle Scholar
  6. 6.
    Gonzalez D, Paradela M, Garcia J, Dela Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact CardioVasc Thorac Surg. 2011;12:514–5.CrossRefGoogle Scholar
  7. 7.
    Ishikawa N, Kawaguchi M, Moriyama H, Watanabe G. Single-incision robotic surgery. Surg Sci. 2012;3:84–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Norihiko Ishikawa
    • 1
    Email author
  • Makoto Oda
    • 1
  • Kenji Kawachi
    • 1
  • Go Watanabe
    • 1
  1. 1.Department of Thoracic SurgeryNewHeart Watanabe InstituteTokyoJapan

Personalised recommendations