肺癌肺切除术：微创外科的进一步发展。

Pneumonectomy for lung cancer: a further step in minimally invasive surgery.

机构信息

Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy.

出版信息

Ann Thorac Surg. 2011 Mar;91(3):e45-7. doi: 10.1016/j.athoracsur.2010.12.008.

DOI:10.1016/j.athoracsur.2010.12.008

Abstract

Robotic lobectomies have been proven to be technically and oncologically feasible. To date, however, pneumonectomy is still considered as a too extensive resection to be performed by the da Vinci robotic system (Intuitive Surgical, Mountain View, CA). We describe 2 patients with centrally located non-small cell lung cancer requiring pneumonectomy and radical lymph node dissection. The operations, consisting of a left and a right pneumonectomy, were successfully performed by a totally video-assisted robotic approach. Tips and pitfalls in this latest innovation in the minimally invasive surgery for lung cancer are discussed.

摘要

机器人肺叶切除术已被证明在技术和肿瘤学上是可行的。然而，到目前为止，全肺切除术仍然被认为是一种过于广泛的切除，不能由达芬奇机器人系统（直觉外科，山景城，CA）来完成。我们描述了 2 例需要全肺切除术和根治性淋巴结清扫术的中央型非小细胞肺癌患者。这 2 例手术，包括左肺和右肺切除术，均成功地通过完全视频辅助机器人方法完成。讨论了肺癌微创手术这一最新创新中的技巧和要点。