Outside the Cage Subcostal RATS Lobectomy: Technical Aspects and Results of the First Series of a Novel Approach to Pulmonary Lobectomy

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery, Journal Year: 2023, Volume and Issue: 18(6), P. 519 - 524

Published: Nov. 1, 2023

Objective: The goal of minimally invasive surgery is to reduce trauma patients and improve their postoperative outcomes. In this context, the utilization robot-assisted thoracic (RATS) in treatment lung cancer has increased worldwide. feasibility single-incision major pulmonary resections by RATS was recently reported, with objective minimizing surgical traditional multiportal approach. However, both techniques require intercostal incisions, potentially causing immediate chronic pain resulting from nerve injury. To approaches, we developed a nonintercostal, outside cage (OTC) approach for lobectomy, avoiding instrumentation. This report aims describe results first reported series OTC subcostal lobectomies. Methods: Retrospective analysis consecutive operated on using novel lobectomy technique. Results: Between August December 2022, total 10 cases were analyzed. median age 63 (55 84) years, mean body mass index 29 (24 45) kg/m 2 , American Society Anesthesiologists score III (II IV). No serious adverse events observed, there no conversion operative time 132.6 (98 223) min. length stay days. pain-related complications, readmissions, or 30-day mortality observed. Conclusions: demonstrates that feasible safe. A phase I clinical trial currently underway prospectively assess safety technique as well its relevance.

Language: Английский

Subcostal uniportal robotic anatomic lung resection: A pilot trial

JTCVS Techniques, Journal Year: 2024, Volume and Issue: 25, P. 160 - 169

Published: April 28, 2024

ObjectiveRobot-assisted thoracoscopic surgery typically necessitates the use of multiple ports. The new single-port robotic system (da Vinci SP system) platform is designed to perform uniportal surgery. purpose this clinical trial evaluate feasibility, efficacy, and safety da when used for anatomical lung resection.MethodsPatients diagnosed with stage I cancer requiring resections were considered eligible trial. primary outcome measure was rate conversion, whereas secondary objective focused on assessing incidence perioperative complications.ResultsThe study included 35 patients a median age 63 years (range, 48-74 years). Of these, 30 underwent lobectomy 5 received segmentectomy. All surgeries successfully performed using subcostal approach, except 1 patient, who required thoracotomy conversion due bleeding (conversion rate: 2.9%). docking time 2 minutes 1-8 minutes). For 34 completed surgery, total operating 194 63-405 minutes), console 153 93–267 number harvested nodes 13 5-37), while nodal stations 6 (rang, 4-8). There no in-hospital fatalities, postoperative stay 3 days 2-12 days).ConclusionsThis demonstrates feasibility resection through approach.ClinicalTrials.gov identifierNCT05535712.

Language: Английский