Robotic Lung Resection for Non-Small Cell Lung Cancer.
Robotic-assisted pulmonary lobectomy can be considered for patients able to tolerate conventional lobectomy. Contraindications to resection via thoracotomy apply to patients undergoing robotic lobectomy. Team training, familiarity with equipment, troubleshooting, and preparation are critical for successful robotic lobectomy. Robotic lobectomy is associated with decreased rates of blood loss, blood transfusion, air leak, chest tube duration, length of stay, and mortality compared with thoracotomy. Robotic lobectomy offers many of the same benefits in perioperative morbidity and mortality, and additional advantages in optics, dexterity, and surgeon ergonomics as video-assisted thoracic lobectomy. Long-term oncologic efficacy and cost implications remain areas of study.
Division of Cardiothoracic Surgery, University of Alabama-Birmingham Medical Center, Birmingham, AL, USA.
Benjamin
B
Wei
Section of Thoracic Surgery, Northside Hospital Cancer Institute, 960 Johnson Ferry Road, Suite 100, Atlanta, GA 30342, USA.
Shady M
SM
Eldaif
Division of Cardiothoracic Surgery, University of Alabama-Birmingham Medical Center, University of Alabama at Birmingham, 703 19th Street South, ZRB 739, Birmingham, AL 352094, USA. Electronic address: rcerfolio@uabmc.edu.
Robert J
RJ
Cerfolio
D016063:Blood Loss, Surgical; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D061646:Operative Time; D011013:Pneumonectomy / Q000379:methods*; D065287:Robotic Surgical Procedures / Q000379:methods*; D012371:Robotics; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy; D016896:Treatment Outcome
Lobectomy; Lung cancer; Robot-assisted; Robotic