Robotic-assisted single-port system for pulmonary lobectomy: A prospective feasibility study

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Robotic Surgery

Background:

• Pulmonary lobectomy is a standard surgical procedure for lung cancer.
• Minimally invasive techniques like robotic surgery aim to improve patient outcomes.
• The da Vinci single-port (SP) System offers a uniportal approach, potentially reducing invasiveness.

Purpose of the Study:

• To evaluate the feasibility and safety of the da Vinci SP System for pulmonary lobectomy.
• To assess the perioperative and oncologic outcomes of this novel approach.
• To determine if a subcostal, uniportal robotic lobectomy is a viable alternative.

Main Methods:

• A prospective, multicenter, single-arm clinical study was conducted.
• Nineteen patients underwent robotic-assisted SP subcostal lobectomy for pulmonary lobectomy.
• The study evaluated safety, feasibility, and oncologic outcomes.

Main Results:

• All 19 SP lobectomy procedures were successfully completed without conversion to other approaches.
• No intraoperative adverse events or device issues were recorded.
• Complete tumor resection (R0) was achieved in 100% of cases, with extensive nodal sampling.

Conclusions:

• Robotic SP subcostal lobectomy is a feasible and safe procedure for pulmonary lobectomy.
• The approach demonstrates acceptable perioperative and oncologic quality outcomes.
• Further research is required to establish its clinical benefits over standard multiport robotic lobectomy.