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Thoracoscopic biopsy diagnosed <jats:italic>MYCN<\/jats:italic> non\u2010amplified neuroblastoma. Chemotherapy shrank the tumor to 5\u00a0cm by 35\u2009months of age. Robotic\u2010assisted resection was chosen because the patient was large enough and public health insurance coverage was available. At surgery, the tumor was well\u2010demarcated by chemotherapy and dissection posteriorly from the ribs\/intercostal spaces and medially from the paravertebral space and azygos vein was facilitated by superior visualization\/instrument articulation. The capsule of the resected specimen was intact on histopathology, confirming complete tumor resection. Despite minimum distance specifications between arms, trocars, and target sites with robotic assistance, excision was safe without instrument collisions. Robotic assistance should be actively considered for pediatric malignant mediastinal tumor provided the thorax is of adequate size.<\/jats:p>","DOI":"10.1111\/ases.13172","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T05:00:44Z","timestamp":1678251644000},"page":"542-545","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Successful all robotic\u2010assisted excision of highly malignant mediastinal neuroblastoma in a toddler: A case report"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6609-9929","authenticated-orcid":false,"given":"Takanori","family":"Ochi","sequence":"first","affiliation":[{"name":"Department of Pediatric General and Urogenital Surgery Juntendo University School of Medicine  Tokyo 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