title: [Robot assisted tumor resection of an asymptomatic right atrial intracardiac lipoma; report of a case].
abstract: Primary cardiac tumors are relatively rare. No therapeutic guidelines have been established for the surgical indications of such cases. This creates therapeutic dilemmas, especially when the patient is asymptomatic. We describe the robot-assisted resection of an asymptomatic right atrial lipoma. A 63-year-old female was diagnosed to have a round mobile lipoma, measuring 27 mm in diameter in the right atrium near the junction with the inferior vena cava (IVC). Although she was asymptomatic, a surgical resection was indicated since the lipoma could cause an embolism or IVC obstruction due to its morbidity and potential to enlarge. Surgery was performed using the da Vinci Surgical System. A right-sided approach was used through 4 ports. The tumor was resected with a small portion of the right atrial wall. The total operation time was 214 minutes, and the total pump time was 84 minutes. The operation was performed while the heart was beating.
authors.affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
authors.forename: Ryuta
authors.initials: R
authors.lastname: Seguchi
authors.forename: Noriyoshi
authors.initials: N
authors.lastname: Yashiki
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kato
authors.forename: Shojiro
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Norihiko
authors.initials: N
authors.lastname: Ishikawa
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tomita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Otake
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
mesh_terms: D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000601:surgery*; D006801:Humans; D008067:Lipoma / Q000601:surgery*; D008875:Middle Aged; D012371:Robotics; D016896:Treatment Outcome