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Updated: Jun 27, 2025

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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
294
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
1Department of Thoracic Surgery, Memorial Bahcelievler Hospital; akkusmdr@gmail.com.
Journal of Visualized Experiments : Jove
|May 6, 2024
Summary
Completely Portal Robotic Lobectomy (CPRL-4) with subcostal specimen removal offers a safer alternative to traditional thoracotomy for lung cancer surgery. This technique reduces complications, enhancing patient outcomes.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Completely Portal Robotic Lobectomy (CPRL-4) enhances visualization during pulmonary resection.
- Traditional specimen extraction via intercostal utility thoracotomy carries inherent risks.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel subcostal trans-diaphragmatic approach for specimen removal after CPRL-4.
- To assess the feasibility of this technique in patients with pulmonary malignancies.
Main Methods:
- Implementation of a subcostal trans-diaphragmatic access port during CPRL-4 procedures.
- Enlargement of the port post-lobectomy for specimen extraction.
- Single surgical team performing all procedures for pulmonary malignancies.
Main Results:
- The subcostal trans-diaphragmatic method proved effective for specimen removal post-CPRL-4.
- This approach demonstrated reduced risk of thoracotomy-related complications.
- The technique was found to be practical, feasible, and safe.
Conclusions:
- Subcostal trans-diaphragmatic specimen removal is a viable alternative to thoracotomy after CPRL-4.
- This innovative method has the potential to improve patient care in pulmonary malignancy surgery.
- Further adoption may lead to better surgical outcomes and reduced morbidity.

