Morgan Jeffrey A, Ginsburg Mark E, Sonett Joshua R, Argenziano Michael
Division of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Heart Surg Forum. 2003;6(6):E167-9.
While robotic technology is gaining popularity in cardiac surgery, it also is being used to facilitate thoracoscopic procedures, such as insertion of phrenic pacemakers and resection of mediastinal masses. This report describes the use of robotic technology in performing thoracoscopic lobectomy.
One patient underwent a left lower lobectomy with the da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA, USA). With 3 1-cm port incisions and a 4-cm minithoracotomy in the left chest, visualization of the pertinent anatomy was excellent. Standard lymph node dissection was performed. The specimen was removed through the 4-cm minithoracotomy incision.
Pathologic examination revealed mucinous adenocarcinoma. The margins of the specimen were negative, and there was no vascular or bronchial invasion. The patient's postoperative course was uneventful, and he was discharged to home on postoperative day 5.
Robotic technology enhances visualization and instrument dexterity during thoracoscopic intrathoracic procedures. This technology can be used to facilitate development of minimally invasive thoracic approaches.
虽然机器人技术在心脏手术中越来越受欢迎，但它也被用于辅助胸腔镜手术，如膈神经起搏器植入和纵隔肿物切除。本报告描述了机器人技术在胸腔镜肺叶切除术中的应用。
一名患者使用达芬奇机器人手术系统（美国加利福尼亚州山景城直观外科公司）接受了左下肺叶切除术。在左胸做了3个1厘米的切口和一个4厘米的小切口，相关解剖结构的可视化效果极佳。进行了标准的淋巴结清扫。标本通过4厘米的小切口取出。
病理检查显示为黏液腺癌。标本切缘阴性，无血管或支气管侵犯。患者术后恢复顺利，术后第5天出院。
机器人技术可提高胸腔镜胸内手术的可视化程度和器械灵活性。该技术可用于促进微创胸外科手术方法的发展。
