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Pulmonary Resection Using a Total Endoscopic Robotic Video-Assisted Approach

Dylewski, Mark R., MD ; Ohaeto, Adaeze C., ARNP ; Pereira, Jorge F

Seminars in thoracic and cardiovascular surgery, 2011, Vol.23 (1), p.36-42 [Periódico revisado por pares]

United States: Elsevier Inc

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Título:
Pulmonary Resection Using a Total Endoscopic Robotic Video-Assisted Approach
Autor: Dylewski, Mark R., MD ; Ohaeto, Adaeze C., ARNP ; Pereira, Jorge F
Assuntos: Adult ; Aged ; Aged, 80 and over ; Cardiothoracic Surgery ; Female ; Florida ; Humans ; Length of Stay ; lobectomy ; lung ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Pneumonectomy - adverse effects ; Pneumonectomy - methods ; Pneumonectomy - mortality ; Retrospective Studies ; Robotics ; surgery ; Surgery, Computer-Assisted - adverse effects ; Surgery, Computer-Assisted - mortality ; Thoracic Surgery, Video-Assisted - adverse effects ; Thoracic Surgery, Video-Assisted - mortality ; thoracoscopy/VATS ; Time Factors ; Treatment Outcome ; Young Adult
É parte de: Seminars in thoracic and cardiovascular surgery, 2011, Vol.23 (1), p.36-42
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: We have developed a robotic video-assisted thoracoscopic technique (RVATS) for lung resection that could encourage broader use of minimally invasive lobectomy. During December 2006 to September 2010, RVATS was performed in 200 consecutive patients (90 women, 110 men) with the da Vinci Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA). Pulmonary resection was performed through ports without the need for a utility incision. Data on patients' perioperative results were collected retrospectively. Robotic video-assisted pulmonary resection was accomplished in 197 of 200 patients. A total of 154 patients underwent lobectomy; 4 patients required bilobectomy, and 35 patients underwent segmentectomy. Three patients underwent a sleeve lobectomy, and 3 patients had an en-bloc resection with lobectomy. One patient received a left pneumonectomy. Three patients required conversion to a thoracotomy. The median operative time was 90 minutes. The median length of hospital stay was 3 days. 60-day mortality and morbidity was 2% and 26%, respectively. RVATS lung resection is technically feasible, safe, and results indicate the procedure is associated with reduced length of stay, low morbidity, and mortality.
Editor: United States: Elsevier Inc
Idioma: Inglês

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Pulmonary Resection Using a Total Endoscopic Robotic Video-Assisted Approach

Dylewski, Mark R., MD ; Ohaeto, Adaeze C., ARNP ; Pereira, Jorge F

United States: Elsevier Inc

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