VATS-based approach for robotic lobectomy.
Lobectomy with systematic lymph node sampling or dissection remains the mainstay of treatment of early stage non-small cell lung cancer. The use of video-assisted thoracic surgery (VATS) to perform lobectomy was first reported in 1992. Advantages of VATS include less trauma and pain, shorter chest drainage duration, decreased hospital stay, and preservation of short-term pulmonary function. However, VATS is characterized by loss of binocular vision and a limited maneuverability of thoracoscopic instruments, an unstable camera platform, and poor ergonomics for the surgeon. To overcome these limitations, robotic systems were developed during the last decades. This article reviews the technical aspects of robotic lobectomy using a VATS-based approach.
Division of Thoracic Surgery, Department of Cardio-Thoracic and Vascular Surgery, University Hospital of Pisa, Via Paraisa 2, Pisa 56124, Italy. Electronic address: franca.mamelfi@gmail.com.
Franca M A
FM
Melfi
Division of Thoracic Surgery, Department of Cardio-Thoracic and Vascular Surgery, University Hospital of Pisa, Via Paraisa 2, Pisa 56124, Italy.
Olivia
O
Fanucchi
Division of Thoracic Surgery, Department of Cardio-Thoracic and Vascular Surgery, University Hospital of Pisa, Via Paraisa 2, Pisa 56124, Italy.
Federico
F
Davini
Division of Thoracic Surgery, Department of Cardio-Thoracic and Vascular Surgery, University Hospital of Pisa, Via Paraisa 2, Pisa 56124, Italy.
Alfredo
A
Mussi
D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000601:surgery; D008175:Lung Neoplasms / Q000601:surgery*; D061646:Operative Time; D011013:Pneumonectomy / Q000295:instrumentation / Q000379:methods*; D012371:Robotics / Q000295:instrumentation; D020775:Thoracic Surgery, Video-Assisted
Lobectomy; Lung cancer; Minimally invasive surgery; NSCLC; Robotic