Early experience with robotic-assisted lung resection

Daniel L. Fortes, Sandra C. Tomaszek, Dennis A Wigle

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE: Robotic-assisted surgery is not widely accepted for general thoracic surgical procedures, and the technical advantages, cost effectiveness, and patient benefit are in question. Few reports have been published to date regarding clinical experience with this technology. We describe our first consecutive case experience with robotic-assisted lung resection. METHODS: A total of 23 robotic-assisted lung resections were performed from December 1, 2008, to September 30, 2010. Patients were selected on the basis of being candidates for a minimally invasive approach to their lung resection, including criteria such as known or suspected early-stage nonsmall-cell lung cancer, no prior thoracotomy, no neoadjuvant therapy, and a body mass index (BMI) less than 40 kg/cm. Data on patient characteristics and perioperative results were collected retrospectively. RESULTS: Overall 90-day mortality was 0%. The total postoperative complication rate was 39%. Conversion of the robotic-assisted procedure to a video-assisted procedure was necessary in four patients (17%), and to a thoracotomy in one patient (4%). We assessed operative time, chest tube duration, and length of hospital stay. Comparison to published outcomes from the Society of Thoracic Surgeons database demonstrated comparable outcomes to standard approaches. CONCLUSIONS: Robotic-assisted lung resection is safe and feasible, with comparable short-term outcomes to published results from video-assisted or open approaches.

Original languageEnglish (US)
Pages (from-to)237-242
Number of pages6
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume6
Issue number4
DOIs
StatePublished - Jul 2011

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Robotics
Lung
Thoracotomy
Length of Stay
Thoracic Surgical Procedures
Chest Tubes
Neoadjuvant Therapy
Operative Time
Non-Small Cell Lung Carcinoma
Cost-Benefit Analysis
Body Mass Index
Databases
Technology
Mortality

Keywords

  • da Vinci surgical system
  • Minimally invasive lung resection
  • Robotic surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Early experience with robotic-assisted lung resection. / Fortes, Daniel L.; Tomaszek, Sandra C.; Wigle, Dennis A.

In: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, Vol. 6, No. 4, 07.2011, p. 237-242.

Research output: Contribution to journalArticle

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