JTCS Concomitant Website
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Bernard J. Park
Raja M. Flores
Valerie W. Rusch
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Park, B. J.
Right arrow Articles by Rusch, V. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Park, B. J.
Right arrow Articles by Rusch, V. W.
Related Collections
Right arrow Lung - other
Right arrowRelated Article

J Thorac Cardiovasc Surg 2006;131:54-59
© 2006 The American Association for Thoracic Surgery

General Thoracic Surgery

Robotic assistance for video-assisted thoracic surgical lobectomy: Technique and initial results

Bernard J. Park, MD * , Raja M. Flores, MD, Valerie W. Rusch, MD

Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY.

Read at the 2004 Annual Meeting of The Society of Thoracic Surgeons.

Received for publication March 16, 2005; revisions received July 26, 2005; accepted for publication July 29, 2005.

* Address for reprints: Bernard J. Park, MD, Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, Room C-867, New York, NY 10021. (Email: parkb{at}mskcc.org).

OBJECTIVES: There is little experience with telerobotic assistance for video-assisted thoracic surgical lobectomy. We developed a technique for robotic assistance during video-assisted thoracic surgical lobectomy and report our initial results.

METHODS: Video-assisted thoracic surgical lobectomy with the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, Calif) was attempted in 34 patients (median age, 69.0 years; age range, 12-85 years). Robotic instruments were used for individual dissection of the hilar structures through 2 thoracoscopic ports and a 4-cm utility incision without rib spreading. Data on patient characteristics and perioperative results were collected prospectively.

RESULTS: Robot-assisted video-assisted thoracic surgical lobectomy was accomplished in 30 patients (19 female and 11 male patients). Every type of lobectomy was performed. Four (4/34 [12%]) patients required conversion to thoracotomy. The majority of patients had non–small cell lung cancer (32/34 [94%]), and 1 patient each had a typical carcinoid tumor and an extranodal B-cell lymphoma. Every patient underwent an R0 resection. The median number of lymph node stations dissected with robotic assistance was 4 (range, 2-7). Operative mortality was 0%, with no in-hospital or perioperative deaths. Nine (26%) patients experienced National Cancer Institute Common Toxicity Criteria for Adverse Events version 3.0 grade 2 or 3 complications. The median chest tube duration was 3.0 days (range, 2-12 days), and the median length of stay was 4.5 days (range, 2-14 days). The median operative time was 218 minutes (range, 155-350 minutes).

CONCLUSIONS: Robot assistance for video-assisted thoracic surgical lobectomy is feasible and safe. The utility and advantages of robotic assistance for video-assisted thoracic surgical lobectomy require further refinement and study of the technique.

Abbreviations and Acronyms 3-D = three dimensional; MIS = minimally invasive surgery; NSCLC = non–small cell lung cancer; PA = physician assistant; VATS = video-assisted thoracic surgery


Related Article

Robotics in thoracic surgery: Applications and outcomes
Thomas A. D'Amico
J. Thorac. Cardiovasc. Surg. 2006 131: 19-20. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
R. M. Flores and N. Alam
Video-Assisted Thoracic Surgery Lobectomy (VATS), Open Thoracotomy, and the Robot for Lung Cancer
Ann. Thorac. Surg., February 1, 2008; 85(2): S710 - S715.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. M. Cattaneo, B. J. Park, A. S. Wilton, V. E. Seshan, M. S. Bains, R. J. Downey, R. M. Flores, N. Rizk, and V. W. Rusch
Use of Video-Assisted Thoracic Surgery for Lobectomy in the Elderly Results in Fewer Complications
Ann. Thorac. Surg., January 1, 2008; 85(1): 231 - 236.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S. R. Bapoje, J. F. Whitaker, T. Schulz, E. S. Chu, and R. K. Albert
Preoperative Evaluation of the Patient With Pulmonary Disease
Chest, November 1, 2007; 132(5): 1637 - 1645.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. Waseda, N. Ishikawa, M. Oda, I. Matsumoto, Y. Ohta, N. Inaki, Y. Hirano, and G. Watanabe
Robot-assisted endoscopic airway reconstruction in rabbits, with the aim to perform robot-assisted thoracoscopic bronchoplasty in human subjects.
J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 989 - 995.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
T. A. D'Amico
Robotics in thoracic surgery: Applications and outcomes
J. Thorac. Cardiovasc. Surg., January 1, 2006; 131(1): 19 - 20.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The American Association for Thoracic Surgery.