VATS-based approach for robotic lobectomy

Franca M A Melfi; Olivia Fanucchi; Federico Davini; Alfredo Mussi

doi:10.1016/j.thorsurg.2014.02.003

VATS-based approach for robotic lobectomy

Thorac Surg Clin. 2014 May;24(2):143-9, v. doi: 10.1016/j.thorsurg.2014.02.003.

Authors

Franca M A Melfi¹, Olivia Fanucchi², Federico Davini², Alfredo Mussi²

Affiliations

¹ 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.
² Division of Thoracic Surgery, Department of Cardio-Thoracic and Vascular Surgery, University Hospital of Pisa, Via Paraisa 2, Pisa 56124, Italy.

PMID: 24780417
DOI: 10.1016/j.thorsurg.2014.02.003

Abstract

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.

Keywords: Lobectomy; Lung cancer; Minimally invasive surgery; NSCLC; Robotic.

Publication types

Review

MeSH terms

Carcinoma, Non-Small-Cell Lung / surgery*
Humans
Lung / surgery
Lung Neoplasms / surgery*
Operative Time
Pneumonectomy / instrumentation
Pneumonectomy / methods*
Robotics* / instrumentation
Thoracic Surgery, Video-Assisted*