Robot-assisted Pulmonary Lobectomy – Our First Experiences

Czech version

Authors: J. Doležel; V. Jedlička; I. Čapov
Authors‘ workplace: I. chirurgická klinika FN u sv. Anny v Brně, přednosta: prof. MUDr. I. Čapov, CSc.
Published in: Rozhl. Chir., 2008, roč. 87, č. 3, s. 121-123.
Category: Monothematic special - Original

Overview

The authors present their first experience and the results of robot-assisted pulmonary lobectomies. The paper reports on the placement of the working channels, auxiliary minithoracotomies, the patient’s position, the positions of the four-arm body of the da Vinci robotic system, and particularly the technique of lobectomy. In our institution, 5 robot-assisted lobectomies were performed in two women and three men (aged 45, 52, and 57, 67, 54 years, respectively). The lower lobectomy was performed four times left and once right. The surgery was always supplemented with mediastinal lymphadenectomy. The vessels were ligated mechanically with the use of the robot. No serious complications were observed during the surgery or in the postoperative period. Robot-assisted lobectomy is a safe method of pulmonary resection in the early stages of bronchogenic carcinoma (Ia, Ib); it ensures a faster convalescence of the patient compared with open surgery.

Key words:
robot – lung – lobectomy

Sources

1. Stanbridge, R. D. L., Charitou, A., Cherian, A. Fully Endoscopic Robotic Lobectomy, Early Experiences. http://www.ismics.org/-/abstracts/2005/ISMICS05_Abstract13.html

2. Bodner, J., Wykypiel, H., Wetscher, G., Schmidt, T. First experiences with the da VinciTM operating robot in thoracic surgery. Eur. J. Cardiothorac. Surg., 2004; 25: 844–851.

3. Melfi, F. M., Menconi, G. F., Mariani, A. M., Angeletti, C. A. Early experience with robotic technology for thoracoscopic surgery. Eur. J. Cardiothorac. Surg., 2002; 21: 864–868.

4. Melfi, F. M., Ambrogi, M. C, Lucchi, M., Mussi, A. Video robotic lobectomy. http://mmcts.ctsnetjournals.org/cgi/content/-/full/2005/0628/mmcts.2004.000448

5. Park, B. J., Flores, R. M., Rusch, V. W. J. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J. Thorac. Cardiovasc. Surg., 2006, Jan; 131(1): 54–59.

6. Morgan, J. A., Ginsburg, M. E., Sonett, J. R., Argenziano, M. Thoracoscopic lobectomy using robotic technology. 2003; 6(6): E167–9.

7. Morgan, J. A., Ginsburg, M. E., Sonett, J. R., Morales, D. L., Kohmoto, T., Gorenstein, L. A., Smith. C. R., Argenziano, M. Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology. Eur. J. Cardiothorac. Surg., 2003, Jun; 23(6): 883–887; discussion 887.

8. Flores, R. M., Park B. J., Rusch, V. W. J. A Comparison of 100 VATS versus robotic-assisted lobectomy cases for early stage lung cancer. Is the robot worth the time? http://www.ismics.org/abstracts/2005/ISMICS05_Abstract11.html

9. Vodička, J., Špidlen, V., Klečka, J., Šimánek, V. 300 videotorakoskopických výkonů – naše zkušenosti. Rozhl. Chir., 2000, roč. 79, č. 10, s. 453–459.

10. Ashton, R. C., Connery, C. P., Swinstel, D. G., De Rose, J. J. Robot assisted lobectomy. J. Thorac. Cardiovascular. Surg., 2003, 126: 292–293.

11. Jedlička, V., Doležel, J., Čapov, I., Veselý, M., Peštál, A. A new tool for treatment of multiple metastatic lung disease: dedicated bipolar technology (LigaSure™). Eur. Surg., 2006, 38, suppl, 210, 48.

12. Čapov, I., Doležel, J., Veverková, L., Jedlička, V. Robotic-assisted thoracic surgery (RATS) – first experiences. Eur. Surg., 2006, 38, suppl. 210, 49.

13. Peštál, A., Veverková, L., Jedlička, V., Procházková, I., Doležel, J. The use of ultrasound in thoracic surgery. Scripta medica, 2006, 79, 105–114.

14. Čapov, I.,Veverková, L. Robotic surgery – Reality or fantasy? Scripta medica, 2006, 79, 71–74.