Robot-assisted thoracoscopic surgery (RATS) is useful for surgery in the apical region of the chest cavity, as it narrows towards the head. Here, we describe a nonfunctional, rib-invasive paraganglioma arising in the posterior mediastinum that was successfully removed using RATS combined with chest wall resection. A 31-year-old woman presented with a posterior mediastinal mass on chest computed tomography (CT) scan during a medical check-up 2 years prior. Positron emission tomography/computed tomography scan with F-18 fluorodeoxyglucose revealed a mass associated with standardized uptake maximum value of 2.69. With a preoperative diagnosis of neurogenic tumor by CT-guided percutaneous fine-needle aspiration biopsy, we performed robot-assisted tumor resection combined with chest wall resection. The wristed instruments of the robotic surgical system have increased range of motion and enabled the tumor resection without organ injury in the thoracic cavity. Histopathology examination revealed a non-functional paraganglioma with rib invasion. RATS is a useful technique, enabling safer and easier resection of a mediastinal tumor adjacent to surrounding organs.

中文翻译：

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纵隔旁神经节瘤通过机器人胸腔镜手术成功切除并整块胸壁切除：一例病例报告。

机器人辅助的胸腔镜手术（RATS）可用于胸腔顶端区域，因为它朝着头部变窄。在这里，我们描述了一种无功能性的肋骨侵犯性旁神经节瘤，其发生在纵隔后部，使用RATS结合胸壁切除术成功地将其切除。一名31岁的女性在2年之前的体格检查中在胸部计算机断层扫描（CT）扫描中出现了后纵隔包块。用F-18氟脱氧葡萄糖进行正电子发射断层扫描/计算机断层扫描，发现质量与标准化吸收最大值2.69相关。在术前通过CT引导的经皮细针穿刺活检诊断为神经源性肿瘤，我们进行了机器人辅助的肿瘤切除与胸壁切除的结合。机器人外科手术系统的腕式器械具有更大的运动范围，并且能够在不切除胸腔内器官的情况下切除肿瘤。组织病理学检查发现非功能性副神经节瘤伴肋骨侵犯。RATS是一种有用的技术，可以更安全，更轻松地切除邻近周围器官的纵隔肿瘤。