机器人辅助肺叶切除术
Robotic lobectomy.
作者信息
Linsky Paul, Wei Benjamin
机构信息
Thoracic Surgery Resident, Division of Cardiothoracic Surgery.
Division of Cardiothoracic Surgery, University of Alabama-Birmingham Medical Center, Birmingham, USA.
出版信息
J Vis Surg. 2017 Sep 30;3:132. doi: 10.21037/jovs.2017.08.12. eCollection 2017.
Abstract
Lobectomy is still currently the gold standard for treatment of lung cancer. With the great advancement of robotic surgery, robotic lobectomy has been demonstrated to be an operation that is safe and can be done in a timely manner, similar to video-assisted thoracoscopic surgery (VATS). Additionally, reports show that long-term oncologic outcomes for robotic lobectomy are consistent with those reported for VATS and open lobectomy. Patients are selected in the same manner as those for VATS. Improved optics, increased dexterity of the instruments, and better ergonomics can yield subjective advantages to the surgeon. The techniques of port placement, mediastinal lymph node dissection and the steps of each of the five lobectomies are important and described in the chapter, for both the da Vinci Si and da Vinci Xi platforms. The subtle differences are highlighted. Additionally, advantages of the platforms are discussed.
摘要
肺叶切除术目前仍是治疗肺癌的金标准。随着机器人手术的巨大进步，机器人肺叶切除术已被证明是一种安全且能及时完成的手术，类似于电视辅助胸腔镜手术（VATS）。此外，报告显示机器人肺叶切除术的长期肿瘤学结果与VATS和开放肺叶切除术所报告的结果一致。患者的选择方式与VATS相同。更好的视野、器械灵活性的提高以及更佳的人体工程学设计可为外科医生带来主观优势。本章针对达芬奇Si和达芬奇Xi平台，介绍了端口放置技术、纵隔淋巴结清扫以及五种肺叶切除术中每种手术的步骤，这些内容都很重要。文中突出了细微差别。此外，还讨论了这些平台的优势。
相似文献
1
Robotic lobectomy.机器人辅助肺叶切除术
J Vis Surg. 2017 Sep 30;3:132. doi: 10.21037/jovs.2017.08.12. eCollection 2017.
2
"Five on a dice" port placement for robot-assisted thoracoscopic right upper lobectomy using robotic stapler.使用机器人吻合器进行机器人辅助胸腔镜右上叶切除术的“骰子上的五点”端口放置法
J Thorac Dis. 2017 Dec;9(12):5355-5362. doi: 10.21037/jtd.2017.11.09.
3
Transitioning from video-assisted thoracic surgical lobectomy to robotics for lung cancer: are there outcomes advantages?从电视辅助胸腔镜肺叶切除术到机器人手术治疗肺癌：是否有结果优势？
J Thorac Cardiovasc Surg. 2014 Feb;147(2):724-9. doi: 10.1016/j.jtcvs.2013.10.002. Epub 2013 Nov 16.
4
A uniportal right upper lobectomy by three-arm robotic-assisted thoracoscopic surgery using the (Xi) Surgical System in the treatment of early-stage lung cancer.使用（Xi）手术系统通过三臂机器人辅助胸腔镜手术进行单孔右上肺叶切除术治疗早期肺癌。
Transl Lung Cancer Res. 2021 Mar;10(3):1571-1575. doi: 10.21037/tlcr-21-207.
5
VATS-based approach for robotic lobectomy.基于 VATS 的机器人肺叶切除术方法。
Thorac Surg Clin. 2014 May;24(2):143-9, v. doi: 10.1016/j.thorsurg.2014.02.003.
6
Efficacy and Safety of Robot-assisted Thoracic Surgery (RATS) Compare with Video-assisted Thoracoscopic Surgery (VATS) for Lung Lobectomy in Patients with Non-small Cell Lung Cancer.机器人辅助胸外科手术（RATS）与电视辅助胸腔镜手术（VATS）用于非小细胞肺癌患者肺叶切除的疗效及安全性比较
Comb Chem High Throughput Screen. 2019;22(3):169-178. doi: 10.2174/1386207322666190411113040.
7
Propensity-score adjusted comparison of pathologic nodal upstaging by robotic, video-assisted thoracoscopic, and open lobectomy for non-small cell lung cancer.机器人辅助、电视辅助胸腔镜和开放性肺叶切除术治疗非小细胞肺癌病理性淋巴结分期上调的倾向评分调整比较。
J Thorac Cardiovasc Surg. 2019 Nov;158(5):1457-1466.e2. doi: 10.1016/j.jtcvs.2019.06.113. Epub 2019 Aug 28.
8
Does transition from the da Vinci Si to Xi robotic platform impact single-docking technique for robot-assisted laparoscopic nephroureterectomy?从达芬奇Si机器人平台过渡到Xi机器人平台是否会影响机器人辅助腹腔镜肾输尿管切除术的单对接技术？
BJU Int. 2015 Dec;116(6):990-4. doi: 10.1111/bju.13210. Epub 2015 Jul 18.
9
Thoracoscopic lobectomy with the da vinci surgical system.使用达芬奇手术系统进行胸腔镜肺叶切除术。
Innovations (Phila). 2006 Summer;1(4):169-70. doi: 10.1097/01.IMI.0000225788.98583.e4.
10
Uniportal video-assisted thoracoscopic lobectomy: an alternative to conventional thoracoscopic lobectomy in lung cancer surgery?单孔电视辅助胸腔镜肺叶切除术：肺癌手术中传统胸腔镜肺叶切除术的替代方法？
Interact Cardiovasc Thorac Surg. 2015 Jun;20(6):813-9. doi: 10.1093/icvts/ivv034. Epub 2015 Mar 3.
引用本文的文献
1
Vein-first artery-first robotic lobectomy outcomes in non-small cell lung cancer.非小细胞肺癌中静脉优先与动脉优先机器人肺叶切除术的结果
J Thorac Dis. 2024 Jan 30;16(1):368-378. doi: 10.21037/jtd-22-1576. Epub 2024 Jan 15.
2
Robotic approach for pediatric pulmonary resection: preliminary investigation and comparative study with thoracoscopic approach.小儿肺切除的机器人手术方法：初步研究及与胸腔镜手术方法的对比研究
J Thorac Dis. 2022 Oct;14(10):3854-3864. doi: 10.21037/jtd-22-526.
3
Robot-Assisted Thoracic Surgery in Non-small Cell Lung Cancer.机器人辅助胸腔镜手术治疗非小细胞肺癌
J Chest Surg. 2021 Aug 5;54(4):266-278. doi: 10.5090/jcs.21.070.
4
Report on 153 sequential three-incision robotic-assisted pulmonary resections by a single surgeon: technical details and learning curve.一位外科医生连续进行153例三切口机器人辅助肺切除术的报告：技术细节与学习曲线
J Thorac Dis. 2020 Mar;12(3):741-748. doi: 10.21037/jtd.2019.12.116.
5
Robotic total knee arthroplasty: clinical outcomes and directions for future research.机器人全膝关节置换术：临床结果及未来研究方向
Bone Joint Res. 2019 Nov 2;8(10):438-442. doi: 10.1302/2046-3758.810.BJR-2019-0175. eCollection 2019 Oct.
本文引用的文献
1
Upstaging and survival after robotic-assisted thoracoscopic lobectomy for non-small cell lung cancer.机器人辅助胸腔镜肺叶切除术治疗非小细胞肺癌后的分期上调与生存情况
Surgery. 2016 Nov;160(5):1211-1218. doi: 10.1016/j.surg.2016.08.003. Epub 2016 Sep 21.
2
Incidence, Results, and Our Current Intraoperative Technique to Control Major Vascular Injuries During Minimally Invasive Robotic Thoracic Surgery.微创机器人胸外科手术中主要血管损伤的发生率、治疗结果及我们目前的术中控制技术
Ann Thorac Surg. 2016 Aug;102(2):394-9. doi: 10.1016/j.athoracsur.2016.02.004. Epub 2016 Jun 22.
3
Robotic lobectomy can be taught while maintaining quality patient outcomes.机器人肺叶切除术的教学可以在保证患者治疗效果的前提下进行。
J Thorac Cardiovasc Surg. 2016 Oct;152(4):991-7. doi: 10.1016/j.jtcvs.2016.04.085. Epub 2016 May 10.
4
Comparison of Video-Assisted Thoracoscopic Surgery and Robotic Approaches for Clinical Stage I and Stage II Non-Small Cell Lung Cancer Using The Society of Thoracic Surgeons Database.利用胸外科医师协会数据库比较电视辅助胸腔镜手术和机器人手术治疗临床Ⅰ期和Ⅱ期非小细胞肺癌的效果
Ann Thorac Surg. 2016 Sep;102(3):917-924. doi: 10.1016/j.athoracsur.2016.03.032. Epub 2016 May 19.
5
Performing robotic lobectomy and segmentectomy: cost, profitability, and outcomes.行机器人肺叶切除术和肺段切除术：成本、盈利能力和结果。
Ann Thorac Surg. 2014 Jul;98(1):203-8; discussion 208-9. doi: 10.1016/j.athoracsur.2014.02.051. Epub 2014 May 1.
6
Thoracoscopic lobectomy is associated with acceptable morbidity and mortality in patients with predicted postoperative forced expiratory volume in 1 second or diffusing capacity for carbon monoxide less than 40% of normal.在预计术后第 1 秒用力呼气量或一氧化碳弥散量低于正常的 40%的患者中，胸腔镜肺叶切除术与可接受的发病率和死亡率相关。
J Thorac Cardiovasc Surg. 2014 Jul;148(1):19-28, dicussion 28-29.e1. doi: 10.1016/j.jtcvs.2014.03.007. Epub 2014 Mar 13.
7
Initial multicenter community robotic lobectomy experience: comparisons to a national database.多中心社区机器人肺叶切除术初步经验：与国家数据库的比较。
Ann Thorac Surg. 2014 Jun;97(6):1893-8; discussion 1899-900. doi: 10.1016/j.athoracsur.2014.02.043. Epub 2014 Apr 14.
8
Defining the cost of care for lobectomy and segmentectomy: a comparison of open, video-assisted thoracoscopic, and robotic approaches.定义肺叶切除术和肺段切除术的治疗费用：开放手术、电视辅助胸腔镜手术和机器人手术方式的比较。
Ann Thorac Surg. 2014 Mar;97(3):1000-7. doi: 10.1016/j.athoracsur.2013.11.021. Epub 2014 Jan 28.
9
Comparing robot-assisted thoracic surgical lobectomy with conventional video-assisted thoracic surgical lobectomy and wedge resection: results from a multihospital database (Premier).比较机器人辅助胸腔镜肺叶切除术与传统电视辅助胸腔镜肺叶切除术和楔形切除术：来自多医院数据库的结果（Premier）。
J Thorac Cardiovasc Surg. 2014 Mar;147(3):929-37. doi: 10.1016/j.jtcvs.2013.09.046. Epub 2013 Nov 8.
10
Open, video-assisted thoracic surgery, and robotic lobectomy: review of a national database.开胸、电视辅助胸腔镜手术和机器人辅助肺叶切除术：国家数据库回顾。
Ann Thorac Surg. 2014 Jan;97(1):236-42; discussion 242-4. doi: 10.1016/j.athoracsur.2013.07.117. Epub 2013 Oct 1.
Zotero 插件