Background: At present, robotic surgery is widely used in thoracic surgery, which has higher maneuverability, precision, and stability, especially for small space complex operations and reconstructive surgery. The advantages of robotic lung segment resection under full orifice artificial pneumothorax are obvious.
Methods: Based on a large number of clinical practices, we established a set of surgical methods for 4-arm robotic lung segment resection under a port-only artificial pneumothorax. 98 cases of robotic lung segment resection were performed with this method from January 2019 to August 2022. The clinical experience was summarized.
Results: Robotic lung segment resection under port-only artificial pneumothorax has obvious advantages in the anatomy of lung segment vessels and bronchi. It is characterized by less bleeding, shorter operation time, adequate exposure, and flexible operation.
Conclusions: This surgical model we propose optimizes the operation mode and technique of lung segment resection, makes each step procedural, reduces collateral damage, and is easy to learn and master, which is believed to cure more lung cancer patients with less trauma.
【中文题目：全孔道人工气胸下四臂机器人肺段切除术的临床应用】 【中文摘要：背景与目的 目前机器人手术在胸外科得到了广泛的应用，机器人手术有着更高的操控性、精确性和稳定性，尤其对于小空间复杂操作及重建手术，优势更为明显，而全孔道人工气胸下机器人行肺段切除术具有明显的操作优势。方法 基于大量的临床实践，我们建立了一整套全孔道人工气胸下四臂机器人肺段切除的手术方法。2019年1月-2022年8月，我们用此方法完成机器人肺段切除手术98例，现将临床经验进行总结。结果 全孔道人工气胸下机器人行肺段切除术在肺段血管、支气管的解剖方面有明显优势，具有出血少、手术时间短、暴露充分、操作灵活等特点。结论 我们提出的这套手术模式优化了肺段切除的操作方式及技巧，使每一个步骤程序化，减轻副损伤，且易于学习掌握，相信能够以更小的创伤治愈更多的肺癌患者。 】 【中文关键词：肺肿瘤；机器人辅助胸外科；肺段切除术；全孔道；人工气胸】.
Keywords: Artificial pneumothorax; Lung neoplasms; Port-only; Robot assisted thoracic surgery; Segmentectomy.