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Extended Robotic Pulmonary Resections.

Joshua A Scheinerman1, Jeffrey Jiang1, Stephanie H Chang1

  • 1Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, United States.

Frontiers in Surgery
|March 11, 2021
PubMed
Summary
This summary is machine-generated.

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Robotic surgery for non-small cell lung cancer (NSCLC) offers advantages in localized resections. This review examines the expanding use of robotic techniques for complex pulmonary resections, including sleeve lobectomy and pneumonectomy.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Lung cancer is a leading cause of cancer mortality in the US.
  • Surgery is a primary curative therapy for non-small cell lung cancer (NSCLC).
  • Robotic platforms have been used for pulmonary resections for over a decade.

Purpose of the Study:

  • To review existing data on extended robotic pulmonary resections.
  • To examine indications, data, and outcomes for complex robotic procedures.
  • To present institutional strategies for advanced robotic lung cancer surgery.

Main Methods:

  • Review of current literature on robotic pulmonary resections.
  • Analysis of data on extended resections: post-induction therapy, sleeve lobectomy, pneumonectomy.
Keywords:
lobectomyneoadjuvant (chemo)radiotherapynon-small cell lung cancerpneumonectomyroboticsleeve resection

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  • Evaluation of institutional experience and outcomes.

    • Main Results:

    • Robotic lobectomy and wedge resection show benefits: shorter hospital stay, less pain, better lymph node dissection, and fewer complications.
    • Technical advantages of robotic surgery include enhanced optics and instrument maneuverability.
    • Data on extended robotic resections (sleeve lobectomy, pneumonectomy) are accumulating.

    Conclusions:

    • The scope of robotic pulmonary resections is expanding to more complex procedures.
    • Evidence supports the efficacy and safety of robotic surgery for advanced NSCLC resections.
    • Further research and data sharing are crucial to address remaining controversies.