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Robotic sleeve resection for pulmonary disease.
Chengqiang Li1, Bin Zhou1, Yu Han1
1Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, China.
World Journal of Surgical Oncology
|April 4, 2018
Summary
This study demonstrates that robotic sleeve resection for lung diseases, with or without lung removal, is safe and effective. A modified suture technique improved anastomosis times in robotic pulmonary surgery.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic sleeve resection combined with pulmonary resection is infrequently documented.
- This study details the successful application of a completely portal robotic sleeve resection, with or without pulmonary resection, utilizing a modified suture technique.
Purpose of the Study:
- To evaluate the safety and efficacy of robotic sleeve resection for pulmonary diseases.
- To assess the outcomes of robotic sleeve resection with or without pulmonary resection using a modified suture technique.
Main Methods:
- A retrospective review of 339 patients undergoing robotic pulmonary surgery between May 2015 and September 2017.
- Three patients underwent robotic sleeve resection (right upper lobe, left upper lobe, lingular segmental bronchus) using a five-port approach.
- Anastomosis was performed using a continuous running suture combined with interrupted sutures at the membranous and cartilaginous junction.
Main Results:
- Postoperative recovery was uneventful for two patients with squamous cell carcinoma; one patient with a salivary gland tumor (lingual segmental bronchus resection) experienced transient atelectasis.
- Median operation time was 155 minutes, median anastomosis time was 25 minutes, and median hospital stay was 7 days.
- No mortality or conversion to thoracotomy occurred. Follow-up (3-6 months) showed no tumor recurrence.
Conclusions:
- Robotic sleeve resection for pulmonary disease, with or without pulmonary resection, appears to be a safe and effective procedure.
- Further experience and the modified suture technique may reduce anastomosis times in robotic pulmonary surgery.
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