Nakamura Hiroshige, Taniguchi Yuji, Miwa Ken, Fujioka Shinji, Matsuoka Yuki, Kubouchi Yasuaki
Division of General Thoracic Surgery, Tottori University Hospital, Yonago, Tottori, Japan.
Ann Thorac Cardiovasc Surg. 2013;19(6):478-80. doi: 10.5761/atcs.cr.12.02020. Epub 2012 Nov 30.
We performed robotic bronchoplastic upper lobectomy for squamous cell carcinoma of the right hilum of the lung. The patient was a 56-year-old male and surgery was performed using 3 robotic arms and 1 assistance. Deeply wide wedge resection and interrupted suture were applied to the bronchus of the upper lobe. The pathological stage was pT1bN1M0, IIA. Chest drain tube was removed on postoperative day 2 and no postoperative respiratory complication occurred. The key for success of this procedure is accustoming to robotic manipulation, especially suturing technique because of the absence of a tactile sense.
我们对一名右肺门鳞状细胞癌患者实施了机器人辅助支气管成形上叶切除术。患者为56岁男性,手术使用了3个机器人手臂和1名助手。对上叶支气管进行了深部广泛楔形切除和间断缝合。病理分期为pT1bN1M0,IIA期。术后第2天拔除胸腔引流管,未发生术后呼吸并发症。该手术成功的关键在于适应机器人操作,尤其是缝合技术,因为缺乏触觉感知。