Skip to main content
Log in

Technique and Results of Robotic Pulmonary Lobectomy Using Four Arms

  • Robotic Thoracic Surgery (R Cerfolio, Section Editor)
  • Published:
Current Surgery Reports Aims and scope Submit manuscript

Abstract

Robotic assistance has been increasingly utilized for pulmonary lobectomy. Although the technical aspects of the operation require special training, robotic lobectomy possesses subjective advantages for the surgeon including better visualization of structures, the ability to control the camera rather than relying on an assistant to do so, increased range of motion of instruments, and improved ergonomics. Perioperative outcomes and overall survival following robotic lobectomy have been shown to be similar to VATS lobectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

We’re sorry, something doesn't seem to be working properly.

Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Morgan JA, Ginsburg ME, Sonett JR, et al. Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology. Eur J Cardiothrac Surg. 2003;23:883–7.

    Article  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. Ninan M, Dylewski MR. Total port-access robot assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg. 2010;38:231–2.

    Article  PubMed  Google Scholar 

  4. Gharagozloo F, Margolis M, Tempesta B, Strother E, Najam F. Robot-assisted lobectomy for early-stage lung cancer: report of 100 cases. Ann Thorac Surg. 2009;88:384.

    Article  Google Scholar 

  5. • Adams RD, Bolton WD, Stephenson JE et al. Initial multicenter community robotic lobectomy experience: comparisons to a national database. Ann Thorac Surg 2014;97:1893–8. This article presents a series of 116 robotic lobectomies done in the community setting, and compares their results to the Society of Thoracic Surgeons database for VATS and open lobectomy from 2009-2010. Their results demonstrate that robotic lobectomy can be safely and successfully done in hospitals outside of major academic medical centers.

  6. •• Kent M, Want T, Whyte R et al. Open, video-assisted thoracic surgery, and robotic lobectomy: review of a national database. Ann Thorac Surg 2014;97:236–42. This article is a large, database-driven study of over 30,000 patients documenting recent trends in robotic resection as well as comparing the three predominant approaches for lobectomy and segmentectomy: open, VATS, and robotic.

  7. Park BJ, Melfi F, Mussi A, et al. Robotic lobectomy for non-small cell lung cancer (NSCLC): long-term oncologic results. J Thorac Cardiovasc Surg. 2012;143:383–9.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. Hs Lee, Jang HJ. Thoracoscopic mediastinal lymph node dissection for lung cancer. Semin Thorac Cardiovasc Surg. 2012;24:131–41.

    Article  Google Scholar 

  10. BJ Park, Flores RM. Cost comparison of robotic, video-assisted thoracic surgery and thoracotomy approaches to pulmonary lobectomy. Thorac Surg Clin. 2008;18:297–300.

    Article  Google Scholar 

  11. • Nasir BS, Bryant AS, Minnich DJ et al. Performing robotic lobectomy and segmentectomy: cost, profitability, and outcomes. Ann Thorac Surg 2014;98:203–8. This article documents the most recent results of CPRL-4 lobectomy at the University of Alabama-Birmingham, with a focus on patient outcomes and financial considerations.

  12. Deen SA, Wilson JL, WIshire CL, et al. Defining the cost of care for lobectomy and segmentectomy: a comparison of open, video-assisted thoracoscopic, and robotic approaches. Ann Thorac Surg. 2014;9:1000–7.

    Article  Google Scholar 

  13. Swanson SJ, Miller DL, McKenna RJ, et al. Comparing robot-assisted thoracic surgical lobectomy with conventional video-assisted thoracic surgical lobectomy and wedge resection: results from a multihospital database. J Thorac Cardiovasc Surg. 2014;147:929–37.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert James Cerfolio.

Additional information

This article is part of the Topical Collection on Robotic Thoracic Surgery.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wei, B., Cerfolio, R.J. Technique and Results of Robotic Pulmonary Lobectomy Using Four Arms. Curr Surg Rep 3, 1 (2015). https://doi.org/10.1007/s40137-014-0078-6

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s40137-014-0078-6

Keywords

Navigation