[Robot-assisted minimally invasive lobectomy with systematic lymphadenectomy for lung cancer].

BACKGROUND AND INTRODUCTION

Lobectomy for lung cancer is the standard therapy for lung cancer in limited stages. The adoption of minimally invasive lobectomy (video-assisted thoracic surgery or VATS lobectomy) has increased worldwide since its first description more than 15 years ago. However, the VATS technique has a long learning curve and sometimes limitations in terms of precise preparation and presentability of the central structures of the lung hilus due to the limited mobility of the standard thoracoscopic instruments. By using a four-arm robotic platform (DaVinci®), not only the preparation of the hilus structures but also the central lymphadenectomy can be performed in a comfortable and safe way under a clear and precise view.

INDICATION

Surgical treatment of locally limited lung cancer in the right lower lobe (squamous cell carcinoma).

PROCEDURE

Robot-assisted, minimally invasive right lower lobectomy with systematic lymphadenectomy.

CONCLUSION

Robot-assisted minimal invasive lobectomy is feasible with special regard to oncological and technical aspects. Especially the intrathoracic precise dissection of the tissue under a perfect view allow a comfortable and safe operation technique.