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. 2022 May;13(10):1457-1462.
doi: 10.1111/1759-7714.14412. Epub 2022 Apr 6.

Two-port robotic sleeve lobectomy using Stratafix sutures for central lung tumors

Ji-Chen Qu  1 , Wen-Tian Zhang  2 , Lei Jiang  2
Affiliations

Two-port robotic sleeve lobectomy using Stratafix sutures for central lung tumors

Ji-Chen Qu et al. Thorac Cancer. 2022 May.

Abstract

Objectives: To explore the feasibility of two-port robotic sleeve lobectomy using Stratafix sutures for central lung tumors, and to summarize the surgical techniques and clinical outcomes.

Methods: We retrospectively evaluated 15 consecutive patients who underwent robotic bronchial sleeve lobectomy, performed by a single surgeon between March 2021 and September 2021. A half-continuous suture technique with two Stratafix sutures was used for bronchial anastomosis. The operative techniques and outcomes were analyzed.

Results: Complete resection was achieved in all patients undergoing different types of robotic bronchial sleeve lobectomy. There were no conversions to thoracotomy. The mean duration of surgery was 102.35 ± 46.31 min, mean time for bronchial anastomosis was 25.8 ± 15.2 min, mean blood loss was 64.71 ± 38.59 ml, and mean postoperative hospital stay was 4.76 ± 2.54 days. There was no death on follow-up within 90 days after surgery.

Conclusions: Two-port robotic bronchial sleeve lobectomy and the novel anastomotic technique are both feasible and safe for selected patients.

Keywords: robotic; sleeve lobectomy.

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Figures

FIGURE 1
FIGURE 1
The patient was placed in the lateral decubitus position with jackknife style
FIGURE 2
FIGURE 2
Distribution of incisions for the right‐sided robot‐assisted sleeve lobectomy (a) for the robotic camera, (b) for the right robotic arm, and (c) for the left arm
FIGURE 3
FIGURE 3
The bronchial anastomosis between the proximal main bronchus and the distal lobar bronchus was performed by using a half‐continuous suture technique with two tensile strength size 3‐0 v‐loc sutures. (a) Stratafix spiral PGA‐PCL knotless tissue control suture. (b) Anastomosis: running suture for approximately two‐thirds bronchial cartilage between the right intermediate bronchus and the middle bronchus
FIGURE 4
FIGURE 4
The vessel anastomosis between the proximal main vessel and the distal lobar vessel was performed by using a half‐continuous suture technique with two 4‐0 Prolene sutures. (a) The half‐continuous suture was specially made. Each suture was 15 cm long. The end was sutured on a blood vessel gasket to prevent the suture from falling off when the blood vessel was sutured. (b) Pulmonary artery arterioplasty
See this image and copyright information in PMC

References

    1. Pan X, Gu C, Wang R, Zhao H, Shi J, Chen H. Initial experience of robotic sleeve resection for lung cancer patients. Ann Thorac Surg. 2016;102(6):1892–7. - PubMed
    1. Cerfolio RJ. Robotic sleeve lobectomy: technical details and early results. J Thorac Dis. 2016;8(Suppl 2):S223–6. - PMC - PubMed
    1. Pan X, Chen Y, Shi J, Zhao H, Chen H. Robotic assisted extended sleeve lobectomy after Neoadjuvant chemotherapy. Ann Thorac Surg. 2015;100(6):e129–31. - PubMed
    1. Gu C, Pan X, Chen Y, Yang J, Zhao H, Shi J. Short‐term and mid‐term survival in bronchial sleeve resection by robotic system versus thoracotomy for centrally located lung cancer. Eur J Cardiothorac Surg. 2018;53(3):648–55. - PubMed
    1. O'Sullivan KE, Kreaden US, Hebert AE, Eaton D, Redmond KC. A systematic review and meta‐analysis of robotic versus open and video‐assisted thoracoscopic surgery approaches for lobectomy. Interact Cardiovasc Thorac Surg. 2019;28(4):526–34. - PubMed