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Thoracic surgery

Find all the surgical interventions, lectures, experts opinions, debates, webinars and operative techniques per specialty.
Full endoscopic robotic assisted upper left lung lobectomy for a suspicious lesion
Objective:
To present a complete endoscopic approach for thoracic resection using the Da Vinci™ robotic device (Ninan M, MR Dylewski. Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg 2010;38:231-2).
Methods:
A 62-year-old man was a former smoker with an accumulated dose of 70 packs of cigarettes a year and had a history of rheumatic polyarthritis under immunotherapy. He presented a deterioration of his overall health condition and a CT-scan was performed. The CT-scan showed a ground-glass opacity (GGO) in the left upper lobe. Functional respiratory tests were the following: FEV1 51% and DLCO 65%, and the patient completed 4 floors at the stair-climbing test. An upper left lobectomy using a Da Vinci™ robotic system was performed with a high level of safety.
Results: The postoperative course was uneventful. Pathological findings confirmed the diagnosis of a benign granuloma. Our patient has not shown any incidence during a one-month follow-up and his physician reintroduced his immunosuppressive treatment.
Conclusion: Complete and precise lobectomy can be performed safely by means of the Da Vinci™ robotic system with low morbidity.
JM Baste, V Díaz-Ravetllat, C Peillon
Surgical intervention
6 years ago
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07:10
Full endoscopic robotic assisted upper left lung lobectomy for a suspicious lesion
Objective:
To present a complete endoscopic approach for thoracic resection using the Da Vinci™ robotic device (Ninan M, MR Dylewski. Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg 2010;38:231-2).
Methods:
A 62-year-old man was a former smoker with an accumulated dose of 70 packs of cigarettes a year and had a history of rheumatic polyarthritis under immunotherapy. He presented a deterioration of his overall health condition and a CT-scan was performed. The CT-scan showed a ground-glass opacity (GGO) in the left upper lobe. Functional respiratory tests were the following: FEV1 51% and DLCO 65%, and the patient completed 4 floors at the stair-climbing test. An upper left lobectomy using a Da Vinci™ robotic system was performed with a high level of safety.
Results: The postoperative course was uneventful. Pathological findings confirmed the diagnosis of a benign granuloma. Our patient has not shown any incidence during a one-month follow-up and his physician reintroduced his immunosuppressive treatment.
Conclusion: Complete and precise lobectomy can be performed safely by means of the Da Vinci™ robotic system with low morbidity.