WCLC 2025 - Posters & ePosters-EP.07.29 Single-Port Robotic Anatomical Lung Resection Using the Novel Chinese SP1000 Robotic System: Initial Experience

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This study reports the initial clinical experience using the novel Chinese SP1000 single-port robotic system for anatomical lung resection, comparing two access approaches: subcostal and intercostal. Robotic-assisted thoracic surgery (RATS) has become established due to improved visualization, precision, and maneuverability. While multi-port RATS is standard, single-port robotic surgery (uRATS) aims to minimize invasiveness further. The SP1000 robotic platform was employed to perform lung lobectomies and segmentectomies via either a 4-cm subcostal incision at the mid-clavicular line with an assistant port or a 4-cm fifth intercostal space incision along the posterior axillary line.<br /><br />Between January and July 2024, 15 patients underwent anatomical lung resections: 6 via subcostal uRATS and 9 via intercostal uRATS. Outcomes measured included surgery duration, intraoperative blood loss, lymph node dissection count, and postoperative complications. All operations were successfully completed without conversions. The intercostal group showed significantly shorter operative times (156 vs. 209 minutes), greater lymph node harvest (21 vs. 13 nodes), and lower blood loss (17 vs. 70 mL) compared to the subcostal group. No significant differences were noted in postoperative complication rates, length of hospital stay, drainage volume, or duration. Importantly, no infections or deaths occurred within 30 days post-surgery in either group.<br /><br />The authors conclude that the SP1000 single-port robotic system shows promising efficacy for anatomical lung resections with potentially favorable perioperative outcomes, especially using intercostal access. Ongoing clinical data collection, including cases following conversion therapy involving immunotherapy and chemotherapy for locally advanced lung cancer, will help define the role of this technology. This early experience supports the feasibility and safety of single-port robotic lung resection, offering a minimally invasive alternative with potential clinical benefits.

Asset Subtitle

Shengcheng Lin

Meta Tag

Speaker Shengcheng Lin

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

SP1000 robotic system

single-port robotic surgery

anatomical lung resection

subcostal access

intercostal access

robotic-assisted thoracic surgery

lung lobectomy

lung segmentectomy

perioperative outcomes

minimally invasive thoracic surgery