Department of Thoracic Surgery, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, PR China.
Department of Thoracic Surgery, Shang Hai Pulmonary Hospital, Tongji University, Shanghai, PR China.
Thorac Cancer. 2022 May;13(10):1457-1462. doi: 10.1111/1759-7714.14412. Epub 2022 Apr 6.
To explore the feasibility of two-port robotic sleeve lobectomy using Stratafix sutures for central lung tumors, and to summarize the surgical techniques and clinical outcomes.
We retrospectively evaluated 15 consecutive patients who underwent robotic bronchial sleeve lobectomy, performed by a single surgeon between March 2021 and September 2021. A half-continuous suture technique with two Stratafix sutures was used for bronchial anastomosis. The operative techniques and outcomes were analyzed.
Complete resection was achieved in all patients undergoing different types of robotic bronchial sleeve lobectomy. There were no conversions to thoracotomy. The mean duration of surgery was 102.35 ± 46.31 min, mean time for bronchial anastomosis was 25.8 ± 15.2 min, mean blood loss was 64.71 ± 38.59 ml, and mean postoperative hospital stay was 4.76 ± 2.54 days. There was no death on follow-up within 90 days after surgery.
Two-port robotic bronchial sleeve lobectomy and the novel anastomotic technique are both feasible and safe for selected patients.
探讨使用 Stratafix 缝线进行两孔机器人袖状肺叶切除术治疗中央型肺部肿瘤的可行性，并总结手术技术和临床结果。
我们回顾性评估了 2021 年 3 月至 2021 年 9 月期间由一名外科医生完成的 15 例连续接受机器人支气管袖状肺叶切除术的患者。采用半连续缝线技术，使用两根 Stratafix 缝线进行支气管吻合。分析手术技术和结果。
所有接受不同类型机器人支气管袖状肺叶切除术的患者均达到完全切除。无中转开胸。手术时间的平均值为 102.35±46.31 分钟，支气管吻合时间的平均值为 25.8±15.2 分钟，平均出血量为 64.71±38.59ml，术后平均住院时间为 4.76±2.54 天。术后 90 天内无死亡病例。
对于选择的患者，两孔机器人支气管袖状肺叶切除术和新型吻合技术都是可行且安全的。
