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Robot-assisted left upper lobectomy for T1N0M0 adenocarcinoma

Epublication WebSurg.com, Jan 2014;14(01). URL: http://websurg.com/doi/vd01en4157

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  • 2014-01-06
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This is the case of a robotic left upper lobectomy with lymphadenectomy in a woman aged 52 who has had 9 children and who was a regular smoker (50 packs per year). She is presenting with an isolated cT1N0M0 adenocarcinoma in the left upper pulmonary lobe. PET-scan was positive for the lesion without any other pathological finding in the mediastinum or far metastasis. Histology was obtained by CT-guided transthoracic needle aspiration biopsy. This minimally invasive technique, assisted by the da Vinci® robotic surgical system, is sure, comfortable, and efficient to perform a pulmonary lobectomy with lymphadenectomy in the early stages of lung cancer. 3D vision and the accuracy of dissection appear to be better than in conventional VATS. As in VATS lobectomy, hospital stay is reduced to 3-4 days and postoperative pain appears to be more acceptable.