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Updated: Aug 17, 2026
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Radical thoracoscopic lobectomy with lymphadenectomy in a cadaver model
Beatrix Hoksch1, Bernhard Ablassmaler, Michael Walter
1Department of Surgery, Humboldt University Berlin, Germany. hoksch@t-online.de
Objective:
Because the standard thoracoscopic lobectomy in bronchial carcinoma is often criticized for assumed incomplete lymph-node dissection and oncologic radicality, thoracoscopic lymphadenectomy (TL) was investigated as one step of a scientific investigation for developing a method of complete thoracoscopic resection of bronchial carcinoma.
Design:
A cadaver model (n = 13) was used to investigate the technique of thoracoscopic radical hilar lobectomy and mediastinal lymphadenectomy.
Intervention:
TL followed by a large anterolateral exploratory thoracotomy to evaluate the safety and radicality of TL.
Results:
The mean (and standard deviation) number of lymph nodes resected was 15.6 (4.3). On follow-up exploration, no residual tissue was found at the hilar stump or residual lymph nodes. No other intrathoracic lesions were found.
Conclusions:
TL with radical hilar and mediastinal lymphadenectomy by the described tehcnique can be accomplished according to current oncologic regulations.
