{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:13:18Z","timestamp":1774444398748,"version":"3.50.1"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T00:00:00Z","timestamp":1740873600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Myelolipomas are rare tumors containing adipose tissue and normal hematopoietic cells that mainly occur in the adrenal cortex. Mediastinal myelolipomas are extremely rare. The three-dimensional, high-definition view with up to 10 times image magnification, 7 degrees of freedom of surgical instruments, and filtration of physiologic hand tremors with robotic systems are ideal for removing mediastinal tumors in a small space. Herein, we report a case of posterior mediastinal myelolipoma treated using robotic resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 72-year-old man with an abnormal shadow on a chest roentgenogram was referred to our hospital. Computed tomography revealed extrapulmonary paravertebral lesions in the right posterior mediastinum. Despite the tumor's fragility, complete resection was achieved with robot-assisted thoracic surgery while preserving the lesion integrity. The tumor was diagnosed as a myelolipoma using histopathology of the resected section, and the patient was discharged with no complications on the fifth postoperative day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Mediastinal myelolipomas are fragile tumors with a thin capsule, consisting of adipose tissue and normal hematopoietic cells. Robot-assisted thoracic surgery is particularly effective for resecting posterior mediastinal tumors like myelolipomas that contain adipose components.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>With delicate manipulation, robot-assisted thoracic surgery can be used to safely and completely resect fragile posterior mediastinal tumors, including myelolipomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111122","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T03:24:43Z","timestamp":1741058683000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of posterior mediastinal myelolipoma resected using robot-assisted thoracic surgery"],"prefix":"10.1097","volume":"128","author":[{"given":"Kiyoshi","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical and Pharmaceutical University Hospital, Takatsuki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Shindo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Takatsuki Red Cross Hospital, Takatsuki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsushi","family":"Toyohara","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Hirakata City Hospital, Hirakata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Fumimoto","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical and Pharmaceutical University Hospital, Takatsuki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuharu","family":"Hanaoka","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical and Pharmaceutical University Hospital, Takatsuki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Katsumata","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical and Pharmaceutical University Hospital, Takatsuki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"2023","key":"R1-118-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"Guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"key":"R2-118-20260325","first-page":"311","article-title":"Uber Knochenmarksgewebe in der Nebenniere","volume":"7","author":"Gierke,","year":"1905","journal-title":"Beitr Pathol Anat."},{"key":"R3-118-20260325","first-page":"234","article-title":"Les formation myelo-lipomateuses","volume":"18","author":"Oberling,","year":"1929","journal-title":"Bull. Assoc. Fr. Etud. Cancer"},{"issue":"7","key":"R4-118-20260325","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1177\/000313480607200716","article-title":"Adrenal myelolipoma: report of a case and review of the literature","volume":"72","author":"Patel,","year":"2006","journal-title":"Am. Surg."},{"issue":"4","key":"R5-118-20260325","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/00000478-198206000-00009","article-title":"Extra-adrenal myelolipomas compared with extramedullary hematopoietic tumors: a case of presacral myelolipoma","volume":"6","author":"Fowler,","year":"1982","journal-title":"Am. J. Surg. Pathol."},{"key":"R6-118-20260325","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13019-016-0401-7","article-title":"Video-assisted thoracic surgery for primary myelolipoma of the posterior mediastinum","volume":"11","author":"Himuro,","year":"2016","journal-title":"J. Cardiothorac. Surg."},{"issue":"4","key":"R7-118-20260325","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s11748-013-0230-8","article-title":"Myelolipoma of the posterior mediastinum: report of a case","volume":"62","author":"Ema,","year":"2014","journal-title":"Gen. Thorac. Cardiovasc. Surg."},{"issue":"5","key":"R8-118-20260325","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1378\/chest.104.5.1623","article-title":"Extramedullary hematopoietic tumors of the posterior mediastinum related to asymptomatic refractory anemia","volume":"104","author":"De Montpreville,","year":"1993","journal-title":"Chest"},{"issue":"1","key":"R9-118-20260325","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0165-4608(01)00592-1","article-title":"Adrenal myelolipoma with translocation (3;21) (q25; p11)","volume":"134","author":"Chang,","year":"2002","journal-title":"Cancer Genet. Cytogenet."},{"key":"R10-118-20260325","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-010349","article-title":"Mediastinal myelolipoma with leukocytosis","volume":"2013","author":"Fonda","year":"2013","journal-title":"BMJ Case Rep"},{"issue":"2","key":"R11-118-20260325","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1177\/021849230201000227","article-title":"Mediastinal myelolipoma","volume":"10","author":"Gao","year":"2002","journal-title":"Asian Cardiovasc Thorac Ann"},{"issue":"9","key":"R12-118-20260325","first-page":"E181","article-title":"Primary myelolipoma in posterior mediastinum","volume":"6","author":"Xiong,","year":"2014","journal-title":"J. Thorac. Dis."},{"issue":"5","key":"R13-118-20260325","first-page":"2714","article-title":"Mediastinal myelolipoma\/extramedullary hematopoiesis presenting as a mass: rare differential diagnosis among mediastinal tumors","volume":"11","author":"Yao,","year":"2018","journal-title":"Int. J. Clin. Exp. Pathol."},{"key":"R14-118-20260325","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.936005","article-title":"Anterior Mediastinal Myelolipoma: A Case Report and Review of the Literature","volume":"23","author":"AlSaffar","year":"2022","journal-title":"Am J Case Rep"},{"issue":"1","key":"R15-118-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.athoracsur.2016.05.041","article-title":"Anterior mediastinal myelolipoma","volume":"103","author":"Mehta,","year":"2017","journal-title":"Ann. Thorac. Surg."},{"issue":"6","key":"R16-118-20260325","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1016\/j.ejcts.2004.08.024","article-title":"Bilateral thoracic extraadrenal myelolipoma","volume":"26","author":"Franiel,","year":"2004","journal-title":"Eur. J. Cardiothorac. Surg."},{"issue":"10","key":"R17-118-20260325","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/BF02388150","article-title":"Mediastinal extraadrenal myelolipoma: report of a case","volume":"27","author":"Minamiya,","year":"1997","journal-title":"Surg. Today"},{"issue":"9","key":"R18-118-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejso.2024.108481","article-title":"Comparison of early postoperative patient-reported outcomes after multiportal robotic-assisted thoracoscopic surgery and uniportal video-assisted thoracoscopic surgery for non-small cell lung cancer","volume":"50","author":"Zhang,","year":"2024","journal-title":"Eur. J. Surg. Oncol."},{"issue":"6","key":"R19-118-20260325","doi-asserted-by":"crossref","first-page":"3065","DOI":"10.21037\/jtd-20-286","article-title":"Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors","volume":"12","author":"Li,","year":"2020","journal-title":"J. Thorac. Dis."},{"issue":"48","key":"R20-118-20260325","article-title":"Surgical management of thymic tumors: a narrative review with focus on robotic-assisted surgery","volume":"8","author":"Deckarm,","year":"2024","journal-title":"Mediastinum"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003086?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003086?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111122","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:26:08Z","timestamp":1774434368000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":20,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111122","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2025-01-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}