Robot-assisted lobectomy.

作者: Robert C Ashton , Cliff P Connery , Daniel G Swistel , Joseph J DeRose

DOI: 10.1016/S0022-5223(03)00201-0

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摘要: Clinical and Technical Description A 48-year-old woman was found to have a 1-cm nodule that had increased in size compared with its at previous computed tomographic scans. After negative bronchoscopic mediastinoscopic results, VATS wedge resection confirmed non–small cell lung cancer. formal lobectomy then performed. Incisions for the included posterior incision fifth intercostal space, an anterior eighth space. For lobectomy, extended 6-cm working incision. made anteriorly seventh 7-mm fourth The entire procedure performed zero-degree scope. robotic arms were placed space incisions, camera incision, cart positioned posteriorly over right shoulder (Figure 1). inferior pulmonary ligament mobilized level of vein. Next hilum dissected anteriorly, identifying veins. vein dissected, 0-0 silk tie around it. An endovascular stapler used divide fissure artery lower lobe. complete dissection artery, branches lobe middle identified. Lymph nodes on as separate samples. encircled tie, artery. bronchus umbilical tape. TA (United States Surgical Corporation, Norwalk, Conn) bronchus. Before cutting bronchus, inflated ensure ventilation upper lobes. branch superior segment identified divided stapler. completed endostapler. removed Endobag tissue retrieval system (Medisco Medical Systems, Swindon, United Kingdom). examined any evidence air leak, vessels bleeding. patient mediastinoscopy, results which negative, therefore no further lymph node

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