{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T01:28:03Z","timestamp":1794360483049,"version":"4.9.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The artery of Adamkiewicz (AKA) provides the major blood supply to the lower two-thirds of the spinal cord. As the AKA typically arises from a left posterior intercostal artery at the levels between 9 and 12th thoracic vertebrae, injury of the AKA during thoracic surgery such as resection of a lower paravertebral tumor may cause serious neurological complications. Robot-assisted thoracic surgery (RATS) has several advantages over video-assisted thoracic surgery including three-dimensional and high-definition view with high image magnification and reduced restriction in movement of surgical instruments. Here, we present a case of a left paravertebral ganglioneuroma originating from the sympathetic trunk. Whereas both tumor-feeding arteries and the AKA arose from the 9<jats:sup>th<\/jats:sup> intercostal artery, complete tumor resection with preserving the AKA was achieved by RATS.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 15-year-old girl admitted for surgery for a posterior mediastinal tumor. Chest computed tomography showed a well-circumscribed 8.0\u00a0cm tumor adjacent to 8\u201311th thoracic vertebrae and the descending aorta. Contrast-enhanced CT and angiography revealed that the AKA arose from the left 9<jats:sup>th<\/jats:sup> intercostal artery that ran between the tumor and the vertebrae and that tumor-feeding arteries also arose from the same intercostal artery. RATS was performed with the left intercostal approach using the da Vinci Xi system (Intuitive Surgical, Mountain View, CA). The tumor originating from the sympathetic trunk was completely resected with preserving the sympathetic trunk and the AKA. Postoperative course was uneventful without any adverse event, such as neurological complications. The final pathological diagnosis of the tumor was ganglioneuroma.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>RATS is a useful surgical approach for removal of a mediastinal tumor with preserving surrounding organs or tissues, such as the AKA.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-022-01487-6","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T02:02:49Z","timestamp":1657072969000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Robot-assisted thoracoscopic resection of a posterior mediastinal tumor with preserving the artery of Adamkiewicz"],"prefix":"10.1186","volume":"8","author":[{"given":"Yukiko","family":"Nemoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masataka","family":"Mori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoshi","family":"Kanayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiaji","family":"Kuwata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Takenaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4692-6151","authenticated-orcid":false,"given":"Fumihiro","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,6]]},"reference":[{"key":"1487_CR1","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1007\/s00234-019-02207-y","volume":"61","author":"D Taterra","year":"2019","unstructured":"Taterra D, Skinningsrud B, P\u0119kala PA, Hsieh WC, Cirocchi R, Walocha JA, et al. Artery of Adamkiewicz: a meta-analysis of anatomical characteristics. Neuroradiology. 2019;61:869\u201380.","journal-title":"Neuroradiology"},{"key":"1487_CR2","doi-asserted-by":"publisher","first-page":"1410","DOI":"10.1016\/0003-4975(95)00196-R","volume":"59","author":"S Attar","year":"1995","unstructured":"Attar S, Hankins JR, Turney SZ, Krasna MJ, McLaughlin JS. Paraplegia after thoracotomy: report of five cases and review of the literature. Ann Thorac Surg. 1995;59:1410\u20135.","journal-title":"Ann Thorac Surg."},{"key":"1487_CR3","doi-asserted-by":"publisher","first-page":"4929","DOI":"10.21037\/jtd.2017.10.160","volume":"9","author":"CC Zirafa","year":"2017","unstructured":"Zirafa CC, Melfi F. Robot-assisted surgery for posterior mediastinal mass. J Thorac Dis. 2017;9:4929\u201331.","journal-title":"J Thorac Dis."},{"key":"1487_CR4","doi-asserted-by":"publisher","first-page":"3065","DOI":"10.21037\/jtd-20-286","volume":"12","author":"XK Li","year":"2020","unstructured":"Li XK, Cong ZZ, Xu Y, Zhou H, Wu WJ, Wang GM, et al. Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors. J Thorac Dis. 2020;12:3065\u201372.","journal-title":"J Thorac Dis."},{"key":"1487_CR5","doi-asserted-by":"publisher","first-page":"1853","DOI":"10.1016\/j.athoracsur.2021.05.090","volume":"113","author":"CE Alvarado","year":"2022","unstructured":"Alvarado CE, Worrell SG, Bachman KC, Jiang B, Janko M, Gray KE, et al. Robotic approach has improved outcomes for minimally invasive resection of mediastinal tumors. Ann Thorac Surg. 2022;113:1853\u20138.","journal-title":"Ann Thorac Surg."},{"key":"1487_CR6","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1016\/1010-7940(87)90031-5","volume":"1","author":"H Sairanen","year":"1987","unstructured":"Sairanen H, Leijala M, Louhimo I. Primary mediastinal tumors in children. Eur J Cardiothorac Surg. 1987;1:148\u201351.","journal-title":"Eur J Cardiothorac Surg."},{"key":"1487_CR7","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1002\/(SICI)1096-911X(199905)32:5<349::AID-MPO7>3.0.CO;2-P","volume":"32","author":"C Boglino","year":"1999","unstructured":"Boglino C, Martins AG, Ciprandi G, Sousinha M, Inserra A. spinal cord vascular injuries following surgery of advanced thoracic neuroblastoma: an unusual catastrophic complication. Med Pediatr Oncol. 1999;32:349\u201352.","journal-title":"Med Pediatr Oncol"},{"key":"1487_CR8","doi-asserted-by":"publisher","first-page":"1871","DOI":"10.1016\/j.jpedsurg.2013.04.029","volume":"48","author":"AB Nordin","year":"2013","unstructured":"Nordin AB, Fallon SC, Jea A, Kim ES. The use of spinal angiography in the management of posterior mediastinal tumors: case series and review of the literature. J Pediatr Surg. 2013;48:1871\u20137.","journal-title":"J Pediatr Surg"},{"key":"1487_CR9","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1510\/icvts.2010.257105","volume":"12","author":"J Furak","year":"2011","unstructured":"Furak J, Geczi T, Tiszlavicz L, Lazar G. Postoperative paraplegia after resection of a giant posterior mediastinal tumour. Importance of the blood supply in the upper spinal cord. Interact Cardiovasc Thorac Surg. 2011;12:855\u20136.","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01487-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-022-01487-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01487-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T02:05:30Z","timestamp":1657073130000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-022-01487-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,6]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1487"],"URL":"https:\/\/doi.org\/10.1186\/s40792-022-01487-6","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,6]]},"assertion":[{"value":"4 June 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient for the publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no competing interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"129"}}