Robot-assisted resection of multiple lung nodules through combination of intercostal incisions and a subxiphoid incision as a utility port

作者：Han, Jingquan; Zhang, Hang; Ma, Xiao; Lu, Bei; Zhao, Guibin; Xu, Jinzhi^*

来源：International Journal of Medical Robotics and Computer Assisted Surgery, 2023, 19(3).

DOI：10.1002/rcs.2507

• lung nodules
• robotic-assisted thoracic surgery (RATS)
• segmentectomy

IntroductionRobotic-assisted thoracic surgery (RATS) via subxiphoid incision may be superior in resection of multiple lung nodules. MethodsOutcomes of robot-assisted one-stage bilateral lobectomy or segmentectomy via intercostal and subxiphoid incisions for multiple ground-glass opacities were analysed. ResultsTotal 36 cases were analysed in this study. Thirteen cases had bilateral lobectomy + segmentectomy, 15 cases underwent bilateral segmentectomies, and 8 cases underwent lobectomy + segmentectomy + wedge resection. The average intraoperative blood loss was 110.2 +/- 57.8 mL, operation time was 154 +/- 64.2 min, thoracic draining time was 2.6 +/- 3.2 days, and postoperative hospital stay was 4.8 +/- 3.3 days. Three patients had atrial fibrillation and 3 patients had continuous air leakage for over 3 days, but there was no death or postoperative pain. ConclusionRobot-assisted one-stage bilateral resection of multiple lung nodules through combination of intercostal and subxiphoid incision as a utility port is safe and reliable.

• 单位
  哈尔滨医科大学