Sumiya Ryusuke, Uchida Shinsuke, Matsunaga Takeshi, Watanabe Yukio, Fukui Mariko, Suzuki Kenji
Department of General Thoracic Surgery, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo, Tokyo, Japan.
Gen Thorac Cardiovasc Surg. 2025 Sep;73(9):718-721. doi: 10.1007/s11748-025-02147-w. Epub 2025 May 7.
The importance of complex robotic lung resection should increase because of growing experience with robotic surgery worldwide. However, there have been no reports on robotic portal pulmonary arterioplasty because clamping the main pulmonary artery without thoracotomy is challenging. A 67-year-old female patient who was clinically diagnosed with lung adenocarcinoma cT1bN2M0 stage IIIA underwent induction chemo-immunotherapy, which resulted in a conventional and metabolically partial response. Subsequently, robotic portal right upper sleeve lobectomy with pulmonary arterioplasty was performed using a combination of bulldog clamp forceps and a cotton tape to clamp the main pulmonary artery.
由于全球范围内机器人手术经验的不断增加，复杂机器人肺切除术的重要性应该会提高。然而，目前尚无关于机器人门静脉肺动脉成形术的报道，因为在不开胸的情况下夹闭主肺动脉具有挑战性。一名67岁的女性患者临床诊断为肺腺癌cT1bN2M0 IIIA期，接受了诱导化疗免疫治疗，结果为传统的部分代谢缓解。随后，使用牛头夹钳和棉带组合夹闭主肺动脉，进行了机器人门静脉右上袖状肺叶切除术并肺动脉成形术。
