Department of Thoracic Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
Int J Med Robot. 2023 Jun;19(3):e2507. doi: 10.1002/rcs.2507. Epub 2023 Feb 27.
Robotic-assisted thoracic surgery (RATS) via subxiphoid incision may be superior in resection of multiple lung nodules.
Outcomes of robot-assisted one-stage bilateral lobectomy or segmentectomy via intercostal and subxiphoid incisions for multiple ground-glass opacities were analysed.
Total 36 cases were analysed in this study. Thirteen cases had bilateral lobectomy + segmentectomy, 15 cases underwent bilateral segmentectomies, and 8 cases underwent lobectomy + segmentectomy + wedge resection. The average intraoperative blood loss was 110.2 ± 57.8 mL, operation time was 154 ± 64.2 min, thoracic draining time was 2.6 ± 3.2 days, and postoperative hospital stay was 4.8 ± 3.3 days. Three patients had atrial fibrillation and 3 patients had continuous air leakage for over 3 days, but there was no death or postoperative pain.
Robot-assisted one-stage bilateral resection of multiple lung nodules through combination of intercostal and subxiphoid incision as a utility port is safe and reliable.
经剑突下入路的机器人辅助胸腔手术（RATS）在切除多个肺结节方面可能更具优势。
分析了经肋间和剑突下入路行机器人辅助同期双侧肺叶或肺段切除术治疗多个磨玻璃密度结节的结果。
本研究共分析了 36 例病例。其中 13 例行双侧肺叶切除术+肺段切除术，15 例行双侧肺段切除术，8 例行肺叶切除术+肺段切除术+楔形切除术。术中平均出血量为 110.2±57.8ml，手术时间为 154±64.2min，胸腔引流时间为 2.6±3.2d，术后住院时间为 4.8±3.3d。3 例患者出现心房颤动，3 例患者持续漏气超过 3d，但无死亡或术后疼痛。
机器人辅助经肋间和剑突下入路同期双侧多肺结节切除术作为一种实用端口，安全可靠。
