Analysis of initial results of robotic surgery for general thoracic surgery

• Published in: Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 26; no. 7; pp. 704 - 712
• Main Authors: Haruki, Tomohiro, Matsuoka, Yuki, Ohno, Takashi, Fujioka, Shinji, Kubouchi, Yasuaki, Nakamura, Hiroshige, Takagi, Yuzo, Araki, Kunio, Taniguchi, Yuji, Miwa, Ken
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Association for Chest Surgery 2012
• Subjects: da Vinci; general thoracic surgery; robotic surgery
• ISSN: 0919-0945; 1881-4158
• DOI: 10.2995/jacsurg.26.704

Robotic surgery for general thoracic surgery is still basic. We performed 25 cases of robotic surgery using the da Vinci S robotic system (Intuitive Surgical Inc., CA, USA), and obtained favorable results in our hospital for a year from January 2011. Operative procedures for 14 cases of primary lung cancer comprised 5 right upper lobectomies, including: 1 wedge bronchoplasty, 3 right middle lobectomies including 1 combined partial resection of the upper lobe, 2 right lower lobectomies, 3 left upper lobectomies, and 1 left basal segmentectomy. The mean operative time was 323.1 minutes (console time: 245.7 minutes) and the amount of bleeding was 92.1 ml. There were two postoperative complications: atrial fibrillation and acute cholecystitis. Eleven thymectomies were performed. There were 5 cases of myasthenia gravis (2 with thymoma), 2 of thymoma, 2 of Castleman disease, 1 of teratoma, and 1 thymic cyst. The mean operative time was 207.4 minutes (console time: 148.5 minutes), and the amount of bleeding was 9.8 ml. Postoperatively, one chylothorax occurred in a case of extended thymectomy for myasthenia gravis with invasive thymoma. The advantages of robotic surgery were excellent visualization using the three-dimensional scope and accurate manipulation by robotic forceps with articulation. The early establishment of robotic surgery as an optional technique for general thoracic surgery is expected.