Shumin Wang

Robotic thoracic surgery of the anterior superior mediastinal bronchogenic cyst.

The patient, a 48-year-old man, was admitted due to “chest pain for 20 days” and “presence of anterior superior mediastinal mass”. He suffered from chest pain 20 days ago, which became severer when coughing. However, no tenderness or heart palpitations were noted. Chest CT at the local hospital showed a roundish hypodense lesion at the anterior superior mediastinum. Further abdominal ultrasound in a medical university-affiliated hospital showed no other abnormality. He then visited our hospital for further management. His general conditions were acceptable. The chest pain persisted, which became severer when coughing. He also had chest tightness and mildly irritating dry cough. However, he had no fever, night sweats, heart palpitations, or precordial discomfort. His mental status, physical performance, appetite, and sleep were normal, and the body weight did not obviously change. Urination and defecation were normal.

Robotic thoracic surgery of the right posterior inferior mediastinal mass

The patient was admitted due to “a mediastinal mass found during health check-up four months ago”. Four months ago, she was admitted in a local hospital due to gas poisoning, during which CT showed a right posterior mediastinal mass. Later she was then discharged after the gas poisoning was resolved. She then visited our hospital for surgical treatment. She has a previous history of hypertension for 20 years and diabetes for 7 years. She underwent resection of uterine myoma 10 years ago.

Robotic-assisted right middle lobectomy for poorly differentiated squamous cell carcinoma

The patient, a 73-year-old men, was admitted due to “sputum with blood for one month” and “mass in the right middle lung lobe”. One month ago, he developed cough and expectoration with blood-stained sputum. Two weeks ago, chest CT showed a soft-tissue mass with irregular border in the lateral segments of the right middle lung lobe. Bronchoscopy detected a mass at the bronchial orifice in the lateral segments of the right middle lung lobe. No malignant cell was detected at biopsy pathology. The patient’s complaints did not include low fever, night sweats, nausea, vomiting, abdominal distension, diarrhoea, heart palpitations, or discomfort of precordial area. His mental status, physical performance, appetite, and sleep were normal, and the body weight did not obviously change. Urination and defecation were normal.

Robotic-assisted right inferior lobectomy.

The patient, a 60-year-old man, was admitted due to “cough and expectoration lasted for 1 month and became worse in the past 2 weeks”. One month ago, the patient developed a cough productive for white sputum but without signs/ symptoms such as blood in phlegm, difficulty in breathing, chest tightness, shortness of breath, fatigue, or night sweats. After oral administration with roxithromycin and cold drugs by himself, the symptoms were resolved, and no other special treatment was applied. In the past 2 weeks, the cough persisted and became worse. He then visited a local hospital, in which the chest CT showed a lobulated soft-tissue mass sized 3.5 cm in the inferior lobe of right lung. He had a history of hypertension for 9 years, which was satisfactorily controlled by the self-administration of hypotensive drugs. In 2004 and 2007, he received two sessions of heart stent implantation due to myocardial infarction, during which a total of 3 stents were implanted. However, he has stopped using anticoagulant drugs.

Robotic-assisted right upper lobectomy

The patient, a 59-year-old man, was found to be with lesion in the right upper lobe of the lung. He received coronary artery bypass graft in the department of cardiac surgery of our hospital due to angina pectoris 3.5 months ago. The pre-operative CT showed a nodular shadow in the right upper lobe of the lung. PET-CT findings were highly suggestive of lung cancer. A second chest CT after the surgery showed that the lesion in the right upper lobe of the lung did not change remarkably. The patient then visited our hospital again and was admitted due to “space-occupying lesion in the right upper lobe of the lung”. He had a history of hypertension for over 20 years. Ten years ago, he received a surgery for the gallbladder stones.

Robotic-assisted right middle lobectomy.

The patient, a 56-year-old man, was admitted due to “a mass in the right lung found during health checkup 2 months ago”. The patient visited our outpatient department for further treatment due to a mass in the right lung found during health checkup 2 months ago. He had no symptom such as fever, chest tightness, shortness of breath, chest pain, or hoarseness. His physical performance was normal, and the body weight did not obviously change.

Robotic-assisted left upper lobectomy

The patient, a 53-year-old woman, was admitted due to “lesion in the left lung found during health check-up 2 years ago” and “a space-occupying lesion in the upper lobe of left lung”. Two years ago, chest CT during health checkup showed a ground-glass opacity (GGO) at the edge of the upper lobe of left lung. However, no special treatment was given. Ten days ago, the patient visited our hospital due to spinal joint conditions. Chest CT showed a spaceoccupying lesion in the upper lobe of left lung. The lesion has slightly irregular border and unclear margin, with mild pleural retraction. The lesion was slightly enlarged compared with that in the CT image 2 years ago. The patient’s complaints did not include cough/expectoration, chest tightness, shortness of breath, low fever, night sweats, nausea, vomiting, abdominal distension, diarrhoea, heart palpitations, or discomfort of precordial area. His mental status, physical performance, appetite, and sleep were normal, and the body weight did not obviously change. Urination and defecation were normal.

Robotic-assisted left upper lingual segmentectomy.

The patient, a 50-year-old woman, was admitted due to “repeated hemoptysis for more than half a year” and “bronchiectasis”. The patient began to cough up blood without obvious causes about 6 months ago. The blood was bright red in color, and the patient spitted about 6 times during each attack. No special treatment was given. She spitted up 9 times of fresh blood again 1 month ago and then visited a local hospital. Chest CT showed that the lingular bronchus of left upper lobe showed cystic and cylindrical dilatation, along with thickened walls. Small dotted and patchy intensities were visible around it. Left bronchial dilation accompanied with peribronchitis was considered. The condition was not remarkably improved after anti-inflammatory and hemostatic treatment. She then visited our hospital for further management. After outpatient consultation, she was admitted due to “bronchiectasis”. The patient’s complaints did not include cough, chest tightness, shortness of breath, low fever, night sweats, nausea, vomiting, abdominal distension, diarrhea, heart palpitations, or discomfort of precordial area. His mental status, physical performance, appetite, and sleep were normal, and the body weight did not obviously change. Urination and defecation were normal.

Robotic thoracic surgery of the posterior superior mediastinal mass.

The patient, a 34-year-old woman, was admitted due to “a mediastinal mass found during health check-up 3 months ago”. She underwent health check-up in a local hospital 3 months ago, during which CT displayed a mediastinal mass. No specific treatment was provided. One week ago, she received a second CT, which showed that the mediastinal mass did not change obviously. She then visited our hospital for surgical treatment. She had no previous history of relevant conditions.

Robotic-assisted segmentectomy of lingual segment of the left upper pulmonary lobe

The patient was admitted due to “repeated hemoptysis for more than half a year”. The patient began to cough up blood about 6 months ago. The blood was bright red in color, and the patient spitted about 6 times during each attack. She spitted up fresh blood again one month ago and received antiinflammatory and hemostasis treatment in a local hospital. Then, she visited our hospital for further management. She did not suffer from fever. Her physical performance was normal, and the body weight did not obviously change.