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Case Reports
. 2016 Apr 12;11(1):59.
doi: 10.1186/s13019-016-0453-8.

Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system

Yandong Zhao  1 , Wenjie Jiao  2 , Xiaoyang Ren  2 , Liangdong Zhang  2 , Tong Qiu  2 , Bo Fu  2 , Lei Wang  2
Affiliations
Case Reports

Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system

Yandong Zhao et al. J Cardiothorac Surg. .

Abstract

Background: Despite the robotic surgery is widely applied, sleeve lobectomy for lung cancer using the Da Vinci surgical system is still less performed. We described a sleeve lobectomy for adenocarcinoma located at the left lower lobe using the Da Vinci surgical system.

Case presentation: A case of 57-year old female referred to our hospital. Computed tomography scan showed an occupation located at the left lower lobe and adenocarcinoma project from the lobe bronchus was diagnosed by bronchoscope examination. A sleeve lobectomy was performed using the Da Vinci surgical system and the postoperative recovery was uneventful.

Conclusions: Robotic thoracic surgery is feasible to perform sleeve lobectomy inspite of inadequate experience.

Keywords: Lung cancer surgery; Minimally invasive surgery; Robot-assisted lung resection; Sleeve lobectomy.

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Figures

Fig. 1
Fig. 1
CT scan revealed a mass located at left lower lobe and the main and upper lobe bronchus were not involved
Fig. 2
Fig. 2
The position of robotic surgical system for left lower lobe sleeve lobectomy. (C: Console; R: Robotic system; O: Operator; A: Assistant)
Fig. 3
Fig. 3
The resection of the left lower lobe. (a Transection of the left lower pulmonary vein with stapler; b The bronchus was divided; c transected the bronchus with scissors; d The fissure was divided by staplers.)
Fig. 4
Fig. 4
The anastomosis of bronchus. (a Running sutures from proximal of the anterior wall of the pars cartilaginea; b Needle running of the upper lobe bronchus; c Anastomotic sutures were tied to make the two ends get close; d The final knot was made at the posterior wall.)
Fig. 5
Fig. 5
Chest X-ray of the 1st postoperative day
Fig. 6
Fig. 6
Chest CT scan at 1 month after operation
Fig. 7
Fig. 7
The anastomosis in bronchoscopy at 2 months after operation
See this image and copyright information in PMC

References

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