“Five on a Dice” Port Placement Allows for Successful Robot-Assisted Left Pneumonectomy

Abstract

Background Technology has evolved to facilitate pulmonary resection. The latest technological advances in computer-aided surgery (Da Vinci Xi) allow for more control during pulmonary resection.

Case Description A 59-year-old woman presented with two primary tumors of the left upper and lower lung. After induction chemotherapy, patient had a “five on a dice” port placement and technique was used to perform successful robot-assisted pneumonectomy. The patient was discharged home on postoperative day 3 without any complications.

Conclusions We have found that the “five on a dice” port placement allows for optimal control of the robot stapler and facilitates successful robot-assisted left pneumonectomy.

Keywords

lung cancer treatment - robotics - minimally invasive surgery

• References

• 1 Park BJ. A complete video-atlas of five robotic-assisted lobectomies. Ann Cardiothorac Surg 2012; 1 (01) 100-101
• 2 Cerfolio RJ, Bryant AS. Robotic-assisted pulmonary resection - right upper lobectomy. Ann Cardiothorac Surg 2012; 1 (01) 77-85
• 3 Ninan M, Dylewski MR. Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg 2010; 38 (02) 231-232