Mitsuboshi Shota, Ogihara Akira, Katagiri Sayaka, Maeda Hideyuki, Aoshima Hiroe, Matsumoto Takako, Isaka Tamami, Kanzaki Masato
Department of Thoracic Surgery, Tokyo Women's Medical University, Tokyo, Japan.
J Surg Case Rep. 2020 Jun 15;2020(6):rjaa110. doi: 10.1093/jscr/rjaa110. eCollection 2020 Jun.
The number of robotic surgical procedures for thoracic disease is increasing. The automatic linear stapler has become a necessary device in endoscopic surgery. A 67-year-old man with a history of smoking was referred to our hospital for an abnormal finding on chest x-ray. Computer tomography of the chest revealed a ground glass nodule in the right middle lobe. We performed right middle wedge resection through the assistant port using a long-shaft stapler (LSS). Because the nodule was diagnosed as an adenocarcinoma on the intraoperative frozen section, the patient underwent robotic-assisted thoracoscopic surgery (RATS) right middle lobectomy using the da Vinci Xi system. The pulmonary arteries, veins, right middle bronchus and minor fissure were divided using the LSS through the utility thoracotomy or assistant port. The postoperative course was uncomplicated. This case suggests that the LSS can be used in RATS lung resection for cancer.
用于治疗胸科疾病的机器人手术数量正在增加。自动线性缝合器已成为内镜手术中的必备器械。一名有吸烟史的67岁男性因胸部X光检查发现异常被转诊至我院。胸部计算机断层扫描显示右中叶有一个磨玻璃结节。我们通过辅助端口使用长轴缝合器（LSS）进行了右中叶楔形切除术。由于术中冰冻切片诊断该结节为腺癌，患者使用达芬奇Xi系统接受了机器人辅助胸腔镜手术（RATS）右中叶切除术。通过实用胸廓切开术或辅助端口使用LSS分离肺动脉、静脉、右中叶支气管和小裂。术后病程顺利。该病例表明LSS可用于RATS肺癌切除术。
