2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.08E.09 Safety and Feasibility of Uniportal Robotic Lung Resection

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The study reports on the safety and feasibility of uniportal robotic-assisted thoracoscopic surgery (U-RATS) for non-small cell lung cancer using the da Vinci Surgical Xi system, conducted at the National Cancer Center, Shenzhen, China. Spanning November 2023 to February 2024, the retrospective evaluation included 15 patients. <br /><br />### Key Findings:<br /><br />- **Patient Profile**: Comprised of seven males and eight females with a median age of 60 years, the median BMI was 21.7 kg/m². The median predicted forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) were 90.59% and 93.86%, respectively.<br /><br />- **Procedural Details**: All patients underwent lobectomy. The U-RATS procedural duration averaged 151 minutes, and intraoperative blood loss was around 20 mL. No cases required conversion to thoracotomy or reoperation.<br /><br />- **Recovery Metrics**: Median durations for chest tube placement and hospital stay were 4 and 6 days, respectively. Complications included pneumonia in two patients and atrial fibrillation in one, all graded as Clavien-Dindo I-II.<br /><br />- **Pathological Outcomes**: Staging included one patient at stage 0, ten at I, two at II, and two at III. The median number of dissected lymph nodes was 22, with no postoperative infections or 30-day mortality.<br /><br />### Conclusion:<br /><br />The preliminary findings affirm the safety and feasibility of uniportal RATS using the da Vinci Xi system. The results suggest effective outcomes with minimal complications in the short term, reflecting positively on the potential of uniportal techniques in thoracic surgery for lung cancer. The efficiency and patient recovery rates position U-RATS as a viable surgical approach warranting further exploration through larger, longitudinal studies.

Asset Subtitle

SHENGCHENG LIN

Meta Tag

Speaker SHENGCHENG LIN

Topic Local-Regional Non-small Cell Lung Cancer

Keywords

uniportal robotic-assisted thoracoscopic surgery

U-RATS

non-small cell lung cancer

da Vinci Surgical Xi system

National Cancer Center Shenzhen

lobectomy

patient recovery

thoracic surgery

surgical feasibility

lung cancer treatment