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Thorac Cardiovasc Surg 2019; 67(07): 603-605
DOI: 10.1055/s-0038-1660508
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Robotic-Assisted Sleeve Lobectomy Using the Four-Arm Technique in the DaVinci Si® and Xi® Systems

Jan-Hendrik Egberts
1   Department for General, Visceral-, Thoracic-, Transplantation-, and Pediatric Surgery - Kurt Semm Center for laparoscopic and robotic surgery, University Hospital Schleswig Holstein, Campus Kiel Germany
,
Thorben Möller
1   Department for General, Visceral-, Thoracic-, Transplantation-, and Pediatric Surgery - Kurt Semm Center for laparoscopic and robotic surgery, University Hospital Schleswig Holstein, Campus Kiel Germany
,
Thomas Becker
1   Department for General, Visceral-, Thoracic-, Transplantation-, and Pediatric Surgery - Kurt Semm Center for laparoscopic and robotic surgery, University Hospital Schleswig Holstein, Campus Kiel Germany
› Author Affiliations
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Publication History

13 February 2018

23 April 2018

Publication Date:
16 June 2018 (online)

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Abstract

Sleeve lobectomy (SL) makes it possible to resect centrally located lung carcinoma oncological correct while protecting healthy lung tissue. However, this procedure is often limited with conventional video-assisted thoracoscopic surgery, due to the limited mobility of the rigid and long instruments and the limited visualization. Therefore, these interventions are often still performed in the open conventional technique with the well-known disadvantages. Particularly in the reconstruction of the respiratory tract, precise sewing must be performed in a small space to avoid stenosis of the different diameter of the lumina. Robotic surgery offers several advantages through an enlarged three-dimensional view and flexibility of the robotic instruments, which are particularly evident when sewing. So far, there are only a few reports of robotic SL. Here, we describe our experience of performing robotic SL with four arms on both, the currently available DaVinci Xi® and Si® systems.

Keywords

lung - surgery - robotic - RATS - sleeve lobectomy
 

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