2023 World Conference on Lung Cancer (Posters)-EP07.03. Pulmonary Ligament Approach for Robot-Assisted S9 or S9 and 10 Segmentectomy

EP07.03. Pulmonary Ligament Approach for Robot-Assisted S9 or S9 and 10 Segmentectomy - PDF(Abstract)

Pdf Summary

This presentation discusses a surgical approach called the pulmonary ligament approach for robot-assisted segmentectomy of the basal segment of the lung. The authors conducted a retrospective study of patients who underwent this procedure between April 2017 and July 2022. They compared the perioperative complications, operative time, and blood loss to conventional segmentectomy performed through thoracotomy. <br /><br />Five patients underwent segmentectomy using the pulmonary ligament approach, with an operative time of 182 minutes and minimal intraoperative blood loss. There were two cases of complications, including one prolonged operative time and one bronchial misidentification. <br /><br />In comparison, 22 cases underwent conventional segmentectomy with thoracotomy during the same period. The operative time for the traditional method was shorter, at 143 minutes, but there was a higher range of intraoperative blood loss. <br /><br />No recurrence or mortality was observed in either approach. The authors conclude that the single-direction method for robot-assisted segmentectomy is feasible and safe. It allows for preservation of the pulmonary artery, which is important for future revision surgeries. <br /><br />The authors emphasize the importance of understanding pulmonary anatomy and correctly identifying the V10 branches for successful implementation of this surgical approach. They also note the significance of knowing the shape of S7 for stapling the intersegmental line. <br /><br />This research contributes to the field of early-stage non-small cell lung cancer treatment by exploring a minimally invasive approach for segmentectomy using robotic surgery.

Asset Subtitle

Mariko Fukui

Meta Tag

Speaker Mariko Fukui

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

Keywords

surgical approach

pulmonary ligament approach

robot-assisted segmentectomy

basal segment

retrospective study

operative time

blood loss

complications

pulmonary artery

minimally invasive approach