#roboticpyeloplasty

[prashantjainsblog]

9 year old female child, presented with c/o right sided chest pain for 2 weeks. The child was evaluated and skiagram chest was suggestive of right mediastinal opacity. On further evaluation, Magnetic resonance imaging was suggestive of mass in the right posterior mediastinum, of size approximately 5X5 cm, extending from D2 to D6 vertebra involving spinal nerves and spinal canal at the level of D4 and D5 vertebrae. Computer tomographic guided biopsy revealed a ganglioneuroma, which is a benign tumor of the nerve cells. The child was planned for robotic thoracic surgery to excise the mediastinal mass.

The patient was positioned in right lateral position and the robotic Xi Da vinci system was docked from the head end side. 3 robotic ports created in linear fashion in the 6th,7th and 8th intercostal space. The mass was visualized in the right paravertebral from D2-D6 vertebrae. The mass was gently dissected from the adjacent neurovascular structures and removed completely without causing any injury. The estimated blood loss was around 20 ml and the duration of surgery was 15 minutes.

Postoperatively the child did well and was discharged on POD II.

Mediastinal tumors are rare in the paediatric age group. Because of their size, small chest cavity and their close relation with major neurovascular structures in the chest and the spine, surgical excision is always challenging. Due to the well established morbidity of thoracotomy surgery, minimal invasive techniques  (VATS – Video Assisted and Robotic Assisted Thoracic Surgery – RATS) have now been commonly used for surgical excision of these lesions.

[illseeyouinmydreamsx0]

today marks four weeks since my surgery!! it's crazy how much better the incisions look after such short time. #roboticpyeloplasty #hydronephrosis

[illseeyouinmydreamsx0]

the left was the night before surgery, & the right was taken Wednesday night when I came home. I thought against posting this, but I'm proud of how far I've gotten with my kidney problems. Before I was even born, I was diagnosed with hydronephrosis, & other structural conditions. Since December, I've been in & out of the OR having ureteral stents placed/exchanged, & have had several trips to the ER for severe pain/several infections. on 5/4/15 I had a robotic pyeloplastey, & I've never been so scared in my life. Now, I've got less than a month of recovery, then I'll finally be feeling better. I've had outstanding support from friends & family, & I really can't thank any of them enough. I know there's people out there that have it worse, but I got lucky. I'm thankful for the doctor I have, & that he's been able to save my sick kidney & help me get better. #kidneyhealth #roboticpyeloplasty #hydronephrosis #ureteralstent