Skip to main content
SpringerLink
Log in

Complete Port-Access Robotic-Assisted Lobectomy Utilizing Three-Arm Technique Without a Transthoracic Utility Incision

  • Chapter
  • First Online:
Robotics in General Surgery

Abstract

Despite the superior outcomes of VATS compared to thoracotomy, review of STS database substantiates limited adoption of VATS. Therefore, VATS cannot be acknowledged as the “standard of care” for the treatment of pulmonary malignancies. During the past decade, robotic surgical systems have been increasingly utilized to perform highly complex surgical procedures. The use of the robot in thoracic surgery is in its early development; however, the trend in robotic-assisted thoracic surgery is projected to surpass the adoption of VATS and to mirror that of other robotic surgical subspecialties. This chapter outlines a robotic video-assisted thoracoscopic technique for lung resection that has been proven safe and feasible and more importantly could encourage broader use of minimally invasive lobectomy for a broader population of patients with clinically operable lung cancer.

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

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Ginsburg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1N0 non-small cell lung cancer. Ann Thorac Surg. 1995;60:615–23.

    Article  Google Scholar 

  2. Walker WS, Carnochan FM, Pugh GC. Thoracoscopic pulmonary lobectomy. J Thorac Cardiovasc Surg. 1993;106:1111–7.

    CAS  PubMed  Google Scholar 

  3. Kirby TJ, Rice TW. Thoracoscopic lobectomy. Ann Thorac Surg. 1993;56:784–6.

    Article  CAS  PubMed  Google Scholar 

  4. Lewis RJ. The role of video-assisted thoracic surgery for cancer of the lung: wedge to lobectomy by simultaneous stapling. Ann Thorac Surg. 1993;56:762–8.

    Article  CAS  PubMed  Google Scholar 

  5. Swanson SJ, Herndon J, D’Amico TA, et al. Results of CALGB 39802 feasibility of VATS lobectomy for lung cancer. Proc Am Soc Clin Oncol. 2002;21:290a.

    Google Scholar 

  6. Daniels LJ, Balderson SS, Onaitis MW, D’ Amico TA. Thoracoscopic lobectomy: a safe and effective strategy for patients with stage I lung cancer. Ann Thorac Surg. 2002;74:860–4.

    Article  PubMed  Google Scholar 

  7. Whitson BA, Andrade RS, et al. Video-assisted thoracoscopic surgery is a more favorable than thoracotomy for resection of clinical stage I non-small cell lung cancer. Ann Thorac Surg. 2007;83:1965–70.

    Article  PubMed  Google Scholar 

  8. Mack MJ, Scruggs GR, Kelly KM, Shennib H, Landreneau RJ. Video-assisted thoracic surgery: has technology found it place? Ann Thorac Surg. 1997;64:211–5.

    Article  CAS  PubMed  Google Scholar 

  9. Iwasaki M, Kaga K, Nishiumi N, et al. Experience with the two-windows method for mediastinal lymph node dissection in lung cancer. Ann Thorac Surg. 1998;65:800–82.

    Article  CAS  PubMed  Google Scholar 

  10. Kirby TJ, Mack MJ, Landreneau RJ, Rice TW. Initial experience with video-assisted thoracoscopic lobectomy. Ann Thorac Surg. 1993;56:1248–53.

    Article  CAS  PubMed  Google Scholar 

  11. Melfi FM, Menconi GF, Marianin AM, et al. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg. 2002;21:864–8.

    Article  PubMed  Google Scholar 

  12. Park JB, Flores RM, Rusch VW. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg. 2006;131:54–9.

    Article  PubMed  Google Scholar 

  13. Gharagozloo F, Margolis M, Tempesta B. Robot-assisted thoracoscopic lobectomy for early-stage lung cancer. Ann Thorac Surg. 2008;85:1880–6.

    Article  PubMed  Google Scholar 

  14. Dylewski MD, Ohaeto AC, Pereira JF. Pulmonary resection using a total endoscopic robotic-assisted approach. Semin Thorac Cardiovasc Surg. 2011;23(1):36–42.

    Article  PubMed  Google Scholar 

  15. Gharagozloo F, Margolis M, Tempesta B, et al. Robotic-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases. Ann Thorac Surg. 2009;88:330–84.

    Article  Google Scholar 

  16. Park BJ, Flores RM. Cost comparison of robotic, video-assisted thoracic surgery and thoracotomy approaches to pulmonary lobectomy. Thorac Surg Clin. 2008;18(3):297–300. vii.

    Article  PubMed  Google Scholar 

  17. Veronesi G, Galetta D, Maisonneuve P, Melfi DF, Schmid RA, Borri A, Vannucci F, Spaggiari L. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc Surg. 2010;140:19–25.

    Article  PubMed  Google Scholar 

  18. Park BJ, Melfi F, Mussi A, Maisonneuve P, Spaggiari L, Da Silva RK, Veronesi G. Robotic lobectomy for non-small cell lung cancer (NSCLC): long-term oncologic results. J Thorac Cardiovasc Surg. 2012;143(2):383–9.

    Article  PubMed  Google Scholar 

  19. Whitson BA, Groth SS, Duval SJ, Swanson SJ, Maddaus MA. Surgery for early-stage non-small cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg. 2008;86:2008–18.

    Article  PubMed  Google Scholar 

  20. McKenna RJ, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1100 cases. Ann Thorac Surg. 2006;81:421–6.

    Article  PubMed  Google Scholar 

  21. Onaitis MW, Petersen RP, Balderson SS, et al. Thoracoscopic lobectomy is a safe and versatile procedure. Ann Surg. 2006;244(3):420–5.

    PubMed  Google Scholar 

  22. Cancer Therapy Evaluation Program, Common Terminology Criteria for Adverse Events, Version 3.0, DCTD, NCI, NIH, DHHS. Published date August 9, 2006. Accessed 31 Mar 2003

    Google Scholar 

  23. Takagi H, et al. Perioperative results of robotic lung lobectomy: summary of the literature. Surg Endosc. 2012;26(12):3697–9.

    Article  PubMed  Google Scholar 

  24. Cao C, Manganas C, Ang SC, Yan TD. A systematic review and meta-analysis on pulmonary resections by robotic video-assisted thoracic surgery. Ann Cardiothorac Surg. 2012;1(1):3–10.

    PubMed  Google Scholar 

  25. Kirby TJ, Mack MJ, Landreneau RJ, Rice TW. Lobectomy—video-assisted thoracic surgery verses muscle-sparing thoracotomy. A randomized trial. J Thoracic Cardiovasc Surg. 1995;109(5):997–1001.

    Article  CAS  Google Scholar 

  26. Shiraishi T, Shirakusa T, Miyoshi T, Hiratsuka M, Yamamoto S, Iwasaki A. A completely thoracoscopic lobectomy/segmentectomy for primary lung cancer: technique, feasibility and advantages. Thorac cardiovasc Surg. 2006;54:202–7.

    Article  CAS  PubMed  Google Scholar 

  27. Gossot D. Technical tricks to facilitate totally endoscopic major pulmonary resection. Ann Thorac Surg. 2008;86:323–32.

    Article  PubMed  Google Scholar 

  28. Lewis RJ, Caccavale RJ, Sisler GE, Bocage JP, Mackenzie JW. VATS simultaneously stapled lobectomy. Ann Thorac Surg. 1997;64:1869–71.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiac Vascular and Thoracic Surgery, Baptist Health of South Florida, 6200 SW 72nd Street, Suite 604, Miami, FL, 33143, USA

    Mark R. Dylewski M.D.

  2. North Shore LIJ Health System, Lenox Hill Hospital, 100 E 77th Street, New York, NY, 10075, USA

    Richard Lazzaro M.D.

  3. Department of Surgery, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA, 70121, USA

    Abbas E. Abbas M.D.

Authors
  1. Mark R. Dylewski M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Richard Lazzaro M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Abbas E. Abbas M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark R. Dylewski M.D. .

Editor information

Editors and Affiliations

  1. Metabolic Medicine and Surgery Institute, Florida Hospital Celebration Health, Celebration, Florida, USA

    Keith Chae Kim

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Dylewski, M.R., Lazzaro, R., Abbas, A.E. (2014). Complete Port-Access Robotic-Assisted Lobectomy Utilizing Three-Arm Technique Without a Transthoracic Utility Incision. In: Kim, K. (eds) Robotics in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8739-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8739-5_7

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8738-8

  • Online ISBN: 978-1-4614-8739-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation