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J Thorac Cardiovasc Surg 2003;126:292-293
© 2003 The American Association for Thoracic Surgery

Brief communication

Robot-assisted lobectomy

^a The Department of Surgery, St Luke’s Roosevelt Hospital Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA

New York, NY Received for publication September 13, 2002; accepted for publication November 25, 2002.

^* Address for reprints: Robert C. Ashton, Jr, MD, FACS, FCCP, St Luke’s Roosevelt Hospital Center, College of Physicians and Surgeons, Columbia University, Suite 2B07, 1000 Tenth Ave, New York, NY 10019, USA
rashton@chpnet.org

The first 20% of the full text of this article appears below.

Video-assisted thoracoscopic surgery (VATS) for anatomic pulmonary resections continues to develop since its application in the early 1990s.^1-5 Using the da Vinci Surgical System (Intuitive Surgical, Inc., Mountain View, Calif), we performed an anatomic right lower lobectomy for stage Ia non–small cell lung cancer.

Clinical and Technical Description

A 48-year-old woman was found to have a 1-cm nodule that had increased in size compared with its size at previous computed tomographic scans. After negative bronchoscopic and mediastinoscopic results, a VATS wedge resection confirmed non–small cell lung cancer. A formal lobectomy was then performed.

Incisions for the VATS included a posterior 1-cm incision in the fifth intercostal space, an anterior 1-cm incision in the fifth intercostal space, and a 1-cm incision in the eighth intercostal space. For the lobectomy, the anterior incision was extended to a 6-cm working incision. A 1-cm incision was made anteriorly in the seventh intercostal space, and a 7-mm incision was made in the fourth intercostal space. The entire procedure was performed with the zero-degree scope. The . . . [Full Text of this Article]

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