2023 World Conference on Lung Cancer (Posters)-EP07.03. Challenges in Robotic Lobectomy of the Lung through the Anterior Approach

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This study examined the challenges associated with the anterior approach in robotic lung lobectomy using the da Vinci Si system. The researchers retrospectively analyzed data from 35 patients who underwent robotic lobectomy via the anterior approach, focusing on clinical factors and postoperative complications. The results showed that the anterior approach allowed for patient accessibility and provided an identical view and procedures compared to traditional open surgery or video-assisted thoracoscopic surgery. However, there were unknown factors and problems associated with this approach.<br /><br />The study found that among the cases with pulmonary complications, one experienced middle lobe torsion and prolonged air leakage, which was associated with longer console time and the use of more staplers. There was a correlation between console time and the number of staplers used. This suggests that the anterior approach may lead to problems with stapling, resulting in pulmonary complications.<br /><br />The discussion section of the study highlighted that robotic lobectomy can be classified into robot-assisted thoracic surgery (RATS) and completely portal robotic lobectomy (CPRL). CPRL methods, such as the Cerfolio or Dylewski methods, have been associated with the concern of vascular injury. However, no severe incidence of vascular injury was observed in this study with the anterior approach.<br /><br />In conclusion, while the anterior approach in robotic lung lobectomy may not pose a severe risk of vascular injury, complications related to the use of stapling devices were noted. Further research and improvements in the technique may be needed to address these challenges and improve outcomes in robotic lung lobectomy procedures.

Asset Subtitle

Atsushi Osoegawa

Meta Tag

Speaker Atsushi Osoegawa

Topic Early-Stage NSCLC: Limited Resections & Minimally Invasive Approaches

Keywords

anterior approach

robotic lung lobectomy

da Vinci Si system

postoperative complications

pulmonary complications

console time

staplers

robot-assisted thoracic surgery

CPRL methods

vascular injury