Perioperative efficacy and safety of da Vinci robot-assisted bronchial sleeve lobectomy
- VernacularTitle:达芬奇机器人辅助支气管袖式肺叶切除术的围术期疗效和安全性分析
- Author:
Siyuan ZHANG
1
;
Xinchun DONG
2
;
Yunjiu GOU
2
;
Songchen HAN
2
;
Meng CHEN
1
;
Dacheng JIN
1
Author Information
1. 1. Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China；2. School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, 730000, P.R.China
2. Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China
- Publication Type:Journal Article
- Keywords:
Non-small cell lung cancer;
da Vinci robot system;
sleeve lobectomy;
surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(10):1145-1149
- CountryChina
- Language:Chinese
-
Abstract:
Objective Through the perioperative outcome analysis of da Vinci robot-assisted sleeve lobectomy, to clarify its efficacy and safety. Methods A retrospective analysis was performed on 10 patients with centrally located lung cancer undergoing robot-assisted sleeve lobectomy from March to December 2019 in our center, including 9 males and 1 female, aged 45-67 (55.0±8.9) years. Preoperative imaging and bronchoscopy showed central non-small cell lung cancer, involving the right upper lung in 3 patients, right lower lung in 2 patients, the left upper lung in 4 patients, and left lower lung in 1 patient. The operation time, Docking time, intraoperative blood loss volume, bronchial anastomosis time, number of dissected lymph nodes, drainage volume and postoperative hospital stay were analyzed. Results The da Vinci robot-assisted bronchial sleeve lobectomy was completed smoothly on 10 patients. The operation time was 135-183 (157.8±14.3) min, Docking time 6-15 (10.0±2.9) min, intraoperative blood loss volume 55-250 (124.5±61.8) mL, bronchial anastomosis time 17-40 (27.7±7.3) min, the number of dissected lymph nodes 16-23 (19.7±2.8), the drainage volume 200-600 (348.0±148.4) mL and postoperative hospital stay 7-11 (8.7±1.6) d. All patients had no bronchopleural fistula, pulmonary infection or atelectasis, and there was no perioperative death. Postoperative pathological findings were all squamous cell carcinoma. Conclusion Da Vinci robot-assisted sleeve lobectomy is safe and effective.
