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Biportal robotic pulmonary lobectomy, initial experience − case report


Authors: J. Kolařík;  J. Tavandžis;  R. Novysedlák;  J. Vachtenheim;  M. Švorcová;  J. Pozniak;  J. Šimonek;  J. Schützner;  R. Lischke
Authors‘ workplace: III. chirurgická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha, Česká republika
Published in: Rozhl. Chir., 2023, roč. 102, č. 11, s. 430-432.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2023.102.11.430–432

Overview

Introduction: Thanks to perfect visualization and high maneuverability of instruments, the robotic technique is a preferable type of lung resection, even though the number of required incisions is usually higher compared to the video-assisted approach. This case report presents our initial experience with the reduced-port approach in performing robotic biportal lobectomy.

Case report: The 72-years-old female, examined for hemoptysis, was diagnosed with a carcinoid tumor of the left lower lobe bronchus based on bronchoscopy. The patient underwent a biportal fully robotic left lower lobectomy. The time of operation was 235 minutes, longer compared to the average time of multiportal procedures, i.e. 190±52 minutes, and the blood loss of 100 mL was higher compared to 43±54 mL. The patient was discharged without complications on the third postoperative day. Histological analysis confirmed the diagnosis of a typical carcinoid with tumor free margins and seven tumor free lymph nodes. The patient continues to be followed at the Department of Pneumology, showing no signs of disease recurrence for eight months.

Conclusion: The robotic biportal approach offers a reduction in chest wall traumatization while maintaining oncological radicality. Although this approach is safe and feasible, limitations in instrument movements necessitate specific training.

Keywords:

case report – robotic pulmonary lobectomy – biportal robotic lung resection – robotic-assisted thoracoscopic surgery – minimally invasive thoracic surgery


Sources
  1. Kolařík J, Tavandžis J, Novysedlák R, et al. Robotické plicní segmentektomie, iniciální zkušenosti v České republice. Rozhl Chir. 2023;102(5):199−203. doi:10.33699/PIS.2023.102.5.199-203. PMID: 37527946.
  2. Gonzalez-Rivas D, Bosinceanu M, Manolache V, et al. Uniportal fully robotic-assisted major pulmonary resections. Ann Cardiothorac Surg. 2023 Jan 31;12(1):52−61. doi:10.21037/acs-2022-urats-29.
  3. Yang N, He X, Bai Q, et al. Analysis of the short-term outcomes of biportal robot-assisted lobectomy. Int J Med Robot. 2021 Dec;17(6):e2326. doi: 10.1002/rcs.2326. Epub 2021. Sep 2. Erratum in: Int J Med Robot. 2022 Oct;18(5):e2436. PMID: 34427397.
  4. Hong JI, Lee JH, Kim HK. Biportal robotic surgery for anterior mediastinal mass. Ann Cardiothorac Surg. 2023 Mar 31;12(2):110−116. doi:10.21037/acs-2022-urats-24. Epub 2023 Mar 10.
Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
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