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Case Reports
. 2017 Nov 29;12(1):108.
doi: 10.1186/s13019-017-0675-4.

Robotic sleeve lobectomy with four arms for lung cancer centrally located in the right lower lobe: a case report

Min Seop Jo  1 , Do Yeon Kim  2 , Jin Yong Jeong  3 , Geun Dong Lee  4
Affiliations
Case Reports

Robotic sleeve lobectomy with four arms for lung cancer centrally located in the right lower lobe: a case report

Min Seop Jo et al. J Cardiothorac Surg. .

Abstract

Sleeve lobectomy can preserve healthy lung parenchyma in centrally located lung cancer surgery. Video-assisted thoracoscopic surgery (VATS) lobectomy has been shown to have better results for postoperative complications than thoracotomy lobectomy. However, its limitations in visualization of operative field and handling of instruments restrain surgeons performing sleeve lobectomy. Robotic surgery has several advantages, including magnified 3-dimensional vision and angulation of the robot arm that can provide better circumstances for sleeve lobectomy than VATS. However, robotic sleeve lobectomy has been rarely reported. Here, we describe our experience of performing robotic sleeve lobectomy using four arms for lung cancer centrally located in the right lower lobe.

Keywords: Lobectomy; Lung cancer; Robotics.

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Conflict of interest statement

Ethics approval and consent to participate

Ethics approval was received by the institutional ethics committee.

Consent for publication

Written informed consent was obtained from all patients or their parents for the publication of this report and any accompanying images.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
a Preoperative bronchoscopy showing a tumor mass obstructing the orifice of the right lower lobe bronchus. b Four-arm ports (camera and arm-1, −2, −3) and assistant incisions wounds (arm-3 port incision wound is not shown here). c Robotic bronchial anastomosis using four arms. Transected bronchi were trimmed (a), a single row of interrupted sutures were started the farthest from the camera (b), and the rest of the sutures were completed (c and d). (d) Postoperative bronchoscopy revealing no signs of anastomotic leak or stricture. IMD: intermediate bronchus; RLL: right lower lobe bronchus; RML: right middle lobe bronchus
See this image and copyright information in PMC

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