[Robot-assisted Lobectomy under Port-only Mode with Artificial Pneumothorax]

Area of Science:

• Thoracic Surgery
• Robotic Surgery
• Surgical Innovation

Background:

• The Da Vinci robotic system is prevalent in thoracic surgery, with varied port utilization and procedures across Chinese medical centers.
• Current practices often involve a small incision for an assistant during robotic thoracic procedures.

Purpose of the Study:

• To develop and present a simplified, easier surgical method for robot-assisted lobectomy.
• To optimize the port-only artificial pneumothorax technique for improved patient outcomes in thoracic surgery.

Main Methods:

• A novel surgical method was developed by integrating domestic and international clinical experience.
• The technique incorporates portal placement and artificial pneumothorax, tailored to Chinese anatomical characteristics.
• This approach simplifies the procedure for robot-assisted lobectomy.

Main Results:

• The port-only artificial pneumothorax robot-assisted lobectomy demonstrated enhanced anatomical safety.
• Significant improvements were observed in hemostatic efficacy.
• The technique resulted in superior aesthetic outcomes for surgical wounds.

Conclusions:

• The optimized port-only artificial pneumothorax robot-assisted lobectomy procedure offers benefits for lung cancer patients.
• This refined technique aims to improve the overall surgical experience and recovery for patients undergoing thoracic procedures.