https://scholars.lib.ntu.edu.tw/handle/123456789/584340
標題: | Robotic-assisted thoracoscopic sleeve lobectomy for locally advanced lung cancer | 作者: | MONG-WEI LIN SHUENN-WEN KUO SHUN-MAO YANG JANG-MING LEE |
公開日期: | 2016 | 出版社: | AME Publishing Company | 卷: | 8 | 期: | 7 | 起(迄)頁: | 1747-1752 | 來源出版物: | Journal of Thoracic Disease | 摘要: | Background: The Da Vinci robotic system has been used to enhance the surgeon's visualization and agility in lung cancer surgery, and thus facilitate refined dissection, knot tying and suturing. However, only a few case reports exist on performing a sleeve lobectomy with a robotic-assisted thoracoscopic surgery (RATS) technique. Here we describe our early experience performing RATS sleeve lobectomies. To our knowledge, this is the first study reporting a series of RATS sleeve lobectomies. Methods: The six consecutive NSCLC patients who underwent a RATS sleeve lobectomy between November 2013 and July 2015 at the National Taiwan University Hospital were enrolled in this study. The lobectomies were all performed by the same surgeon using a three-arm robotic system with an additional utility incision made for assistance and specimen retrieval. Results: Five patients were diagnosed with squamous cell carcinoma, while the sixth was diagnosed with a carcinoid tumor. The mean operation time was 436.7 [255-745] minutes. The mean postoperative intensive care unit (ICU) stay and hospital stay were 3.7 [1-11] and 11.3 [3-26] days, respectively. Two (33.3%; 2/6) morbidities were noted, including one pneumonia and one anastomosis stricture. There were no cases of mortality or of conversion to thoracotomy. Conclusions: Our experience performing a RATS sleeve lobectomy in the six patients demonstrated the feasibility of RATS in complex lung cancer surgeries. The three-dimensional vision and articulated joint instruments made robotic-assisted bronchial anastomosis easier under the endoscopic setting. Our experience suggests that RATS offers specific advantages with regard to accuracy and safety when performing sleeve lobectomies. ? Journal of Thoracic Disease. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029680883&doi=10.21037%2fJTD.2016.06.14&partnerID=40&md5=595f1e761bbcadc862842ef20d1f0013 https://scholars.lib.ntu.edu.tw/handle/123456789/584340 |
ISSN: | 2072-1439 | DOI: | 10.21037/JTD.2016.06.14 | SDG/關鍵字: | adult; advanced cancer; aged; anastomosis stenosis; Article; carcinoid; cauterization; clinical article; feasibility study; female; human; intensive care unit; length of stay; lung lobectomy; lymph node dissection; male; middle aged; morbidity; non small cell lung cancer; operation duration; operative blood loss; pneumonia; robot assisted surgery; robotic assisted thoracoscopic sleeve lobectomy; squamous cell lung carcinoma; Taiwan |
顯示於: | 醫學系 |
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