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Updated: May 23, 2026
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Thoracoscopic lobectomy with the da vinci surgical system
Norihiko Ishikawa1, You Su Sun, L Wiley Nifong
1From the Center for Robotics and Minimally Invasive Surgery, Brody School of Medicine at East Carolina University, Greenville, North Carolina (N.I., Y.S.S., L.W.N., W.R.C.); and the Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Japan (N.I., G.W.).
This study demonstrates the feasibility of thoracoscopic upper lobectomy using the da Vinci surgical system in human cadavers. Robotic instruments facilitated vessel ligation and bronchus division, suggesting potential benefits for minimally invasive lung surgery.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Thoracoscopic upper lobectomy is a complex procedure.
- Advancements in surgical technology aim to improve minimally invasive techniques.
Purpose of the Study:
- To evaluate the feasibility of performing a thoracoscopic upper lobectomy using the da Vinci surgical system in human cadavers.
- To assess the capabilities of robotic instruments in key surgical steps.
Main Methods:
- A human cadaver model was used for thoracoscopic upper lobectomy.
- The da Vinci surgical system was employed with a minithoracotomy and additional ports.
- Robotic instruments were utilized for vessel ligation, bronchus division, and lymph node dissection.
Main Results:
- The da Vinci surgical system provided superior visualization and dexterity.
- Robotic instruments were effective for ligating pulmonary vessels and dividing bronchi.
- A standard lymph node dissection was successfully performed robotically.
Conclusions:
- Thoracoscopic upper lobectomy is feasible with the da Vinci surgical system in a cadaver model.
- The system offers potential advantages in optics and dexterity for minimally invasive lung resections.
- This approach may benefit both surgeons and patients in future clinical applications.
