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Case Reports
. 2017 Jan;9(1):E21-E25.
doi: 10.21037/jtd.2017.01.06.

Robotic-assisted double-sleeve lobectomy

Tong Qiu  1 , Yandong Zhao  1 , Yunpeng Xuan  1 , Wenjie Jiao  1
Affiliations
Case Reports

Robotic-assisted double-sleeve lobectomy

Tong Qiu et al. J Thorac Dis. 2017 Jan.

Abstract

Double-sleeve lobectomy, which includes bronchoplasty and pulmonary arterial angioplasty, is required for certain cases of central-type lung cancer. It is usually done by open surgery or video-assisted thoracoscopic surgery (VATS). In recently, da Vinci system and robotic surgery have been applied in such complicated cases. Here we describe the details associated with robotic-assisted double-sleeve lobectomy.

Keywords: Lung cancer; pulmonary arterial angioplasty; robotic-assisted thoracic surgery (RATS); sleeve lobectomy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The preoperative thoracic computed tomography scan.
Figure 2
Figure 2
Patient and incisions position. (A) Body position; (B) incisions position and robot position (a: front port; b: back port; c: camera port; d: assisted incision; e: blocking clamps incision).
Figure 3
Figure 3
Video of robotic-assisted bronchoplasty/pulmonary arterial angioplasty (3). Available online: http://www.asvide.com/articles/1319
Figure 4
Figure 4
Surgical techniques. (A) Dissociate the ligular artery; (B) dissociate the superior pulmonary vein; (C) cut open the left bronchus; (D) block off the proximal pulmonary trunk; (E) block off the distal pulmonary trunk; (F) cut off the invaded arterial wall; (G) perform the pulmonary arterial angioplasty; (H) perform the bronchoplasty. Yellow circle demonstrates the suturing direction, and the dots on it represent the relay point. LUB, left upper bronchus; LMB, left main bronchus; LLB, left lower bronchus.
See this image and copyright information in PMC

References

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