Experience of robot-assisted lung segmentectomy through anterior approach
- VernacularTitle:经前侧入路达芬奇机器人辅助肺段切除术的临床分析
- Author:
TAO Shaolin
1
;
KANG Poming
1
;
TAN Qunyou
1
;
JIANG Bin
1
;
SHEN Cheng
1
;
FENG Yonggeng
1
;
FANG Chunshu
1
;
WU Licheng
1
;
LI Qingyuan
1
;
DENG Bo
1
;
WANG Ruwen
1
Author Information
1. Department of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, P.R.China
- Publication Type:Journal Article
- Keywords:
Pulmonary nodule;
robot-assisted thoracic surgery;
lung segmentectomy;
minimally invasive surgery;
operation approach
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(02):178-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and clinical value of robot-assisted lung segmentectomy through anterior approach. Methods We retrospectively analyzed the clinical data of 77 patients who underwent robotic lung segmentectomy through anterior approach in our hospital between June 2018 to October 2019. There were 22 males and 55 females, aged 53 (30-71) years. Patients' symptoms, general conditions, preoperative imaging data, distribution of resected lung segments, operation time, bleeding volume, number of lymph node dissected, postoperative duration of chest tube insertion, drainage volume, postoperative hospital stay, postoperative complications, perioperative death and other indicators were analyzed. Results All operations were successfully completed. There was no conversion to thoracotomy, serious complications or perioperative death. The postoperative pathology revealed early lung cancer in 48 patients, and benign tumors in 29 patients. The mean clinical parameters were following: the robot Docking time 1-30 (M=4) min, the operation time 30-170 (M=76) min, the blood loss 20-400 (M=30) mL, the drainage tube time 2-15 (M=4) days, the drainage fluid volume 200-3 980 (M=780) mL and the postoperative hospital time 3-19 (M=7) days. Conclusion Robotic lung segmentectomy through anterior approach is a safe and convenient operation method for pulmonary nodules.
