[Robot-assisted minimally invasive lobectomy with systematic lymphadenectomy for lung cancer].
BACKGROUND
Lobectomy for lung cancer is the standard therapy for lung cancer in limited stages. The adoption of minimally invasive lobectomy (video-assisted thoracic surgery or VATS lobectomy) has increased worldwide since its first description more than 15 years ago. However, the VATS technique has a long learning curve and sometimes limitations in terms of precise preparation and presentability of the central structures of the lung hilus due to the limited mobility of the standard thoracoscopic instruments. By using a four-arm robotic platform (DaVinci®), not only the preparation of the hilus structures but also the central lymphadenectomy can be performed in a comfortable and safe way under a clear and precise view.


METHODS
Surgical treatment of locally limited lung cancer in the right lower lobe (squamous cell carcinoma).


METHODS
Robot-assisted, minimally invasive right lower lobectomy with systematic lymphadenectomy.


CONCLUSIONS
Robot-assisted minimal invasive lobectomy is feasible with special regard to oncological and technical aspects. Especially the intrathoracic precise dissection of the tissue under a perfect view allow a comfortable and safe operation technique.
Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig Holstein, Campus Kiel, Kiel, Deutschland.
J-H
JH
Egberts
Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig Holstein, Campus Kiel, Kiel, Deutschland.
M
M
Schlemminger
Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig Holstein, Campus Kiel, Kiel, Deutschland.
C
C
Schafmayer
Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig Holstein, Campus Kiel, Kiel, Deutschland.
P
P
Dohrmann
Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig Holstein, Campus Kiel, Kiel, Deutschland.
T
T
Becker
D002283:Carcinoma, Bronchogenic / Q000473:pathology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D004210:Dissection / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision / Q000295:instrumentation* / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D064847:Multimodal Imaging; D009367:Neoplasm Staging; D011013:Pneumonectomy / Q000295:instrumentation* / Q000379:methods*; D049268:Positron-Emission Tomography; D065287:Robotic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation* / Q000379:methods*; D014057:Tomography, X-Ray Computed