Abstract
Lobectomy is the standard treatment for early non-small cell lung cancer. Various surgical techniques for lobectomy have been developed, and minimally invasive thoracic surgery, such as video-assisted thoracic surgery or robot-assisted thoracic surgery, has been considered as an alternative to conventional open thoracotomy. Recently, Robotic lobectomy is becoming increasingly popular since the first case series was published in 2002. Several studies have reported that robotic lobectomy has comparable oncologic and perioperative outcomes to those of video-assisted thoracic surgery lobectomy and open lobectomy. However, robotic lobectomy remains a challenge for surgeons because of the steep learning curve, reduced tactile sensation, difficulty in port placement, and challenges in cooperation between the surgeon and assistant. Many studies have reported on robotic lobectomy, but few have presented surgical techniques for robotic lobectomy. In this article, the surgical techniques and optimal performance of robotic lobectomy are described in detail for all five types of lobectomy for surgeons beginning with robotic lobectomy.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Yang CF, Sun Z, Speicher PJ, et al. Use and outcomes of minimally invasive lobectomy for stage I non-small cell lung cancer in the National Cancer Data Base. Ann Thorac Surg. 2016;101:1037–42.
Emmert A, Straube C, Buentzel J, Roever C. Robotic versus thoracoscopic lung resection: a systematic review and meta-analysis. Medicine (Baltimore). 2017;96:e7633.
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;28:526–34.
Linsky P, Wei B. Robotic lobectomy. J Visc Surg. 2017;3:132.
Kneuertz PJ, D’Souza DM, Richardson M, Abdel-Rasoul M, Moffatt-Bruce SD, Merritt RE. Long-term oncologic outcomes after robotic lobectomy for early-stage non-small-cell lung cancer versus video-assisted thoracoscopic and open thoracotomy approach. Clin Lung Cancer. 2020;21:214–24.
Roviaro G, Rebuffat C, Varoli F, Vergani C, Mariani C, Maciocco M. Videoendoscopic pulmonary lobectomy for cancer. Surg Laparosc Endosc. 1992;2:244–7.
Berfield KS, Farjah F, Mulligan MS. Video-assisted thoracoscopic lobectomy for lung cancer. Ann Thorac Surg. 2019;107:603–9.
McKenna RJ Jr. Lobectomy by video-assisted thoracic surgery with mediastinal node sampling for lung cancer. J Thorac Cardiovasc Surg. 1994;107:879–82.
Landreneau RJ, Mack MJ, Hazelrigg SR, et al. Video-assisted thoracic surgery: basic technical concepts and intercostal approach strategies. Ann Thorac Surg. 1992;54:800–7.
Lin J. Robotic lobectomy: revolution or evolution? J Thorac Dis. 2017;9:2876–80.
Park BJ, Flores RM, Rusch VW. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg. 2006;131:54–9.
Ricciardi S, Cardillo G, Zirafa CC, Davini F, Melfi F. Robotic lobectomies: when and why? J Visc Surg. 2017;3:112.
Melfi FM, Menconi GF, Mariani AM, Angeletti CA. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg. 2002;21:864–8.
Zirafa CC, Romano G, Key TH, Davini F, Melfi F. The evolution of robotic thoracic surgery. Ann Cardiothorac Surg. 2019;8:210–7.
Galetta D, Casiraghi M, Pardolesi A, Borri A, Spaggiari L. New stapling devices in robotic surgery. J Visc Surg. 2017;3:45.
Farivar AS, Cerfolio RJ, Vallieres E, et al. Comparing robotic lung resection with thoracotomy and video-assisted thoracoscopic surgery cases entered into the Society of Thoracic Surgeons database. Innovations (Phila). 2014;9:10–5.
Kent M, Wang T, Whyte R, Curran T, Flores R, Gangadharan S. Open, video-assisted thoracic surgery, and robotic lobectomy: review of a national database. Ann Thorac Surg. 2014;97:236–44.
Veronesi G, Galetta D, Maisonneuve P, et al. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc Surg. 2010;140:19–25.
Adams RD, Bolton WD, Stephenson JE, Henry G, Robbins ET, Sommers E. Initial multicenter community robotic lobectomy experience: comparisons to a national database. Ann Thorac Surg. 2014;97:1893–900.
Bao F, Zhang C, Yang Y, He Z, Wang L, Hu J. Comparison of robotic and video-assisted thoracic surgery for lung cancer: a propensity-matched analysis. J Thorac Dis. 2016;8:1798–803.
Yang HX. Long-term survival of early-stage non-small cell lung cancer patients who underwent robotic procedure: a propensity score-matched study. Chin J Cancer. 2016;35:66.
Qiu T, Zhao Y, Xuan Y, Jiao W. Robotic-assisted double-sleeve lobectomy. J Thorac Dis. 2017;9:E21–5.
Wilson JL, Louie BE, Cerfolio RJ, et al. The prevalence of nodal upstaging during robotic lung resection in early stage non-small cell lung cancer. Ann Thorac Surg. 2014;97:1901–7.
Casiraghi M, Spaggiari L. Robotic lobectomy has the greatest benefit in patients with marginal pulmonary function. J Thorac Dis. 2019;11(Suppl 3):S322–4.
Veronesi G, Novellis P, Difrancesco O, Dylewski M. Robotic assisted lobectomy for locally advanced lung cancer. J Visc Surg. 2017;3:78.
Wei B, Cerfolio RJ. Robotic lobectomy and segmentectomy: technical details and results. Surg Clin N Am. 2017;97:771–82.
Melfi FM, Mussi A. Robotically assisted lobectomy: learning curve and complications. Thorac Surg Clin. 2008;18:289–95.
Gharagozloo F, Margolis M, Tempesta B, Strother E, Najam F. Robot-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases. Ann Thorac Surg. 2009;88:380–4.
Arnold BN, Thomas DC, Bhatnagar V, et al. Defining the learning curve in robot-assisted thoracoscopic lobectomy. Surgery. 2019;165:450–4.
Song G, Sun X, Miao S, et al. Learning curve for robot-assisted lobectomy of lung cancer. J Thorac Dis. 2019;11:2431–7.
Jang HJ, Lee HS, Park SY, Zo JI. Comparison of the early robot-assisted lobectomy experience to video-assisted thoracic surgery lobectomy for lung cancer: a single-institution case series matching study. Innovations (Phila). 2011;6:305–10.
Pearlstein DP. Robotic lobectomy utilizing the robotic stapler. Ann Thorac Surg. 2016;102:e591–3.
Pardolesi A, Bertolaccini L, Brandolini J, Solli P, Novellis P, Veronesi G. Four arms robotic-assisted pulmonary resection-left upper lobectomy: how to do it. J Visc Surg. 2018;4:109.
Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg. 2011;142:740–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
No potential conflict of interest relevant to this article was reported.
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Lee, J.H., Han, K.N., Kim, H.K. (2022). Robot-Assisted Thoracic Surgery in Non-Small Cell Lung Cancer. In: Kim, K., Haam, S., Kim, H.K. (eds) Techniques in Minimally Invasive Thoracic Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-2472-9_9
Download citation
DOI: https://doi.org/10.1007/978-981-19-2472-9_9
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-2471-2
Online ISBN: 978-981-19-2472-9
eBook Packages: MedicineMedicine (R0)