Subcostal uniportal robotic anatomic lung resection: A pilot trial

Area of Science:

• Thoracic Surgery
• Surgical Robotics
• Oncology

Background:

• Traditional robot-assisted thoracoscopic surgery often requires multiple ports.
• The da Vinci SP system offers a novel uniportal approach.
• Minimally invasive techniques are crucial for lung cancer treatment.

Purpose of the Study:

• To evaluate the feasibility, efficacy, and safety of the da Vinci SP system for anatomical lung resection.
• To assess the primary outcome of conversion rate.
• To determine the incidence of perioperative complications.

Main Methods:

• A clinical trial involving patients with clinical stage I lung cancer.
• Anatomical lung resections performed using the da Vinci SP system.
• Evaluation of conversion rates and perioperative complications.

Main Results:

• 35 patients underwent uniportal anatomical lung resection via a subcostal approach.
• A low conversion rate of 2.9% was observed (1 patient converted to thoracotomy).
• No in-hospital fatalities and a median postoperative stay of 3 days were reported.

Conclusions:

• The da Vinci SP system is feasible and safe for anatomical lung resection.
• A subcostal approach with the da Vinci SP system is effective for lung cancer surgery.
• This uniportal robotic system shows promise for minimally invasive thoracic procedures.