Sequential robotic-assisted lung resection with a subxiphoid utility incision.

For the past two years, the authors have used a subxiphoid utility incision for robot-assisted lobectomies. This approach prevents unnecessary rib pressure, offers a good angle of approach to the hilum, and allows specimen retrieval with minimal resistance. Robot-assisted lung resection is an established technique that facilitates postoperative recovery by minimizing operative trauma and postoperative pain. We believe the subxiphoid utility incision further enhances recovery and facilitates early repeat surgery. We present two cases of staged sequential robot-assisted anatomical lung resection using the same subxiphoid utility incision on each occasion.