The first experience of robot-assisted bronchoplastic segmentectomy

• Grigorchuk A.Y.
• Bazarov D.V.
• Grigoriy A. Kazaryan
• Boranov E.V.
• Kabakov D.G.

Abstract

A clinical case of a patient with a typical carcinoid of the 6 segmental bronchus of the right lung is considered. In such a situation, bronchoplastic segmentectomy is the only way to avoid lower bilobectomy and at the same time radically remove the tumor retreating from its borders, which will additionally save the patient's six segments of the lung.

When choosing a treatment method, preference was given to robot-assisted technologies (RAT), since they combine visualization capabilities and freedom in manipulation comparable or even better than in open surgery, but at the same time through minimally invasive access.

The use of RAT made it possible to perform the maximum parenchymal-sparing resection in compliance with the principles of radicality and minimal trauma.

Keywords:robot-assisted segementectomy; a typical carcinoid; bronchium plasty

References

1.     Zeng W., Zhang W., Zhang J., You G., Mao Y., Xu J., et al. Systematic review and meta-analysis of video-assisted thoracoscopic surgery segmentectomy versus lobectomy for stage I non-small cell lung cancer. World J Surg Oncol. 2020; 18 (1): 1–10. DOI: https://doi.org/10.1186/s12957-020-01814-x  

2.     Lex J.R., Naidu B. In patients with resectable non-small-cell lung cancer, is video-assisted thoracoscopic segmentectomy an appropriate alternative to video-assisted thoracoscopic lobectomy? Interact Cardiovasc Thorac Surg. 2016; 23 (5): 826–31. DOI: https://doi.org/10.1093/icvts/ivu080  

3.     Siu I.C.H., Li Z., Ng C.S.H. Latest technology in minimally invasive thoracic surgery. Ann Transl Med. 2019; 7 (2): 35. DOI: https://doi.org/10.21037/atm.2018.12.47  

4.     Gharagozloo F., Margolis M., Tempesta B. Robot-assisted thoracoscopic lobectomy for early-stage lung cancer. Ann Thorac Surg. 2008; 85 (6): 1880–6. DOI: https://doi.org/10.1016/j.athoracsur.2008.02.085

5.     Veronesi G., Galetta D., Maisonneuve P., Melfi F., Schmid R.A., Borri A., et al. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc Surg. 2010; 140 (1): 19–25. DOI: https://doi.org/10.1016/j.jtcvs.2009.10.025

6.     Melfi F.M.A., Mussi A. Robotically assisted lobectomy: learning curve and complications. Thorac Surg Clin. 2008; 18 (3): 289–95. DOI: https://doi.org/10.1016/j.thorsurg.2008.06.001

7.     Melfi F.M.A., Ambrogi M.C., Lucchi M., Mussi A. Video robotic lobectomy. Multimed Man Cardiothorac Surg. 2005; 2005 (628): e000448. DOI: https://doi.org/10.1510/mmcts.2004.000448  

8.     Park B.J., Flores R.M., Rusch V.W. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg. 2006; 131: 54–9. DOI: https://doi.org/10.1016/j.jtcvs.2005.07.031  

9.     Shevchenko Yu.L. From Leonardo da Vinci to the «Da Vinci» robot. Vestnik Natsional’nogo mediko-khirurgicheskogo Tsentra imeni N.I. Pirogova [Bulletin of the National Medical-Surgical Center named after N.I. Pirogov] 2012; 7 (1): 15–20. (in Russian)

10. Pardolesi A., Veronesi G. Robot-assisted lung anatomic segmentectomy. Thorac Surg Clin. 2014; 24 (2): 163–8. DOI: https://doi.org/10.1016/j.thorsurg.2014.02.008

11. Sarsam O.M., Dunning J., Pochulu B., Baste J.M. Robot-assisted bronchoplasty using continuous barbed sutures. J Vis Surg. 2018; 4 (1): 3. DOI: https://doi.org/10.21037/jovs.2017.12.14

12. Jiao W., Zhao Y., Qiu T., et al. robotic bronchial sleeve lobectomy for central lung tumors: technique and outcome. Ann Thorac Surg. 2019; 108: 211–8. DOI: https://doi.org/10.1016/j.athoracsur.2019.02.028

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