Robotic assistance for video-assisted thoracic surgical lobectomy: Technique and initial results Journal Article
| Authors: | Park, B. J.; Flores, R. M.; Rusch, V. W. |
| Article Title: | Robotic assistance for video-assisted thoracic surgical lobectomy: Technique and initial results |
| Abstract: | Objectives: There is little experience with telerobotic assistance for video-assisted thoracic surgical lobectomy. We developed a technique for robotic assistance during video-assisted thoracic surgical lobectomy and report our initial results. Methods: Video-assisted thoracic surgical lobectomy with the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, Calif) was attempted in 34 patients (median age, 69.0 years; age range, 12-85 years). Robotic instruments were used for individual dissection of the hilar structures through 2 thoracoscopic ports and a 4-cm utility incision without rib spreading. Data on patient characteristics and perioperative results were collected prospectively. Results: Robot-assisted video-assisted thoracic surgical lobectomy was accomplished in 30 patients (19 female and 11 male patients). Every type of lobectomy was performed. Four (4/34 [12%]) patients required conversion to thoracotomy. The majority of patients had non-small cell lung cancer (32/34 [94%]), and 1 patient each had a typical carcinoid tumor and an extranodal B-cell lymphoma. Every patient underwent an R0 resection. The median number of lymph node stations dissected with robotic assistance was 4 (range, 2-7). Operative mortality was 0%, with no in-hospital or perioperative deaths. Nine (26%) patients experienced National Cancer Institute Common Toxicity Criteria for Adverse Events version 3.0 grade 2 or 3 complications. The median chest tube duration was 3.0 days (range, 2-12 days), and the median length of stay was 4.5 days (range, 2-14 days). The median operative time was 218 minutes (range, 155-350 minutes). Conclusions: Robot assistance for video-assisted thoracic surgical lobectomy is feasible and safe. The utility and advantages of robotic assistance for video-assisted thoracic surgical lobectomy require further refinement and study of the technique. Copyright © 2006 by The American Association for Thoracic Surgery. |
| Keywords: | adolescent; adult; child; clinical article; controlled study; aged; aged, 80 and over; middle aged; prospective studies; lung lobectomy; lung non small cell cancer; thoracotomy; lung neoplasms; pneumonectomy; videorecording; b cell lymphoma; feasibility studies; tube; lymph node; carcinoid; robotics; equipment design; thorax surgery; thoracic surgery, video-assisted |
| Journal Title: | Journal of Thoracic and Cardiovascular Surgery |
| Volume: | 131 |
| Issue: | 1 |
| ISSN: | 0022-5223 |
| Publisher: | Mosby Elsevier |
| Date Published: | 2006-01-01 |
| Start Page: | 54 |
| End Page: | 59 |
| Language: | English |
| DOI: | 10.1016/j.jtcvs.2005.07.031 |
| PUBMED: | 16399294 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 51" - "Export Date: 4 June 2012" - "CODEN: JTCSA" - "Source: Scopus" |
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