Stamenkovic Sasha, Melfi Franca
The Thorax Centre, St Bartholomew's Hospital, London, UK.
Robotic Multispecialty Centre for Surgery, Minimally Invasive and Robotic Thoracic Surgery, University Hospital of Pisa, Pisa, Italy.
Ann Cardiothorac Surg. 2019 Mar;8(2):279-285. doi: 10.21037/acs.2019.03.04.
The right lower lobectomy is considered one of the easier resection operations performed by an open technique. The posterior approach for the video-assisted thoracoscopic surgery (VATS) version of this is similar, as instruments and staplers pass up the fissure. When moving to the robotic platform with the camera and instruments entering from caudal ports, the equal view of the lobe, fissure and both hila allow for a more balanced operation. This article aims to discuss the technology of robotic-assisted surgery and the optimal surgical techniques to enable precise and safe resection of the lower lobe.
右下肺叶切除术被认为是开放技术中较简单的切除手术之一。该手术的电视辅助胸腔镜手术(VATS)版本的后入路与之相似,因为器械和吻合器是通过裂隙向上操作的。当转换到机器人平台,摄像头和器械从尾侧端口进入时,对肺叶、裂隙和双侧肺门的同等视野可实现更平衡的操作。本文旨在讨论机器人辅助手术技术以及实现下叶精确、安全切除的最佳手术技巧。