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2018 ; 16
(1
): 74
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Robotic sleeve resection for pulmonary disease
#MMPMID29609610
Li C
; Zhou B
; Han Y
; Jin R
; Xiang J
; Li H
World J Surg Oncol
2018[Apr]; 16
(1
): 74
PMID29609610
show ga
BACKGROUND: Few studies have described robotic sleeve resection with pulmonary
resection. Here, we report the successful implementation of a completely portal
robotic sleeve resection with or without pulmonary resection using a modified
suture mode. METHODS: In total, 339 patients underwent curative robotic pulmonary
surgery at Ruijin Hospital between May 2015 and September 2017. Three of these
patients underwent robotic sleeve resection (right upper lobe, one; left upper
lobe, one; and lingular segmental bronchus, one). Five port incisions were
utilized, and a simple continuous running suture combined with two interrupted
sutures of the membranous and cartilaginous junction portion was preferred for
the anastomosis. RESULTS: The postoperative course was uneventful for two
patients with squamous cell carcinoma. The lingular segmental bronchus patient
without pulmonary resection (a salivary gland tumor) underwent short-term
atelectasis. The median operation time was 155 (range 132-230) minutes. The
median anastomosis time was 25 (range 23-32) minutes. The median length of
postoperative hospital stay was 7 (range 6-10) days. There was no mortality or
conversion to thoracotomy for any of the patients. All patients were followed for
3-6 months, and there is no tumour recurrence. CONCLUSIONS: Our limited
experience suggested that robotic sleeve resection for pulmonary disease with or
without pulmonary resection may be safe and effective. The anastomosis time can
be shortened with more robotic surgery experiences and the modified suture mode.