Quality control of robot-assisted segmentectomy for early-stage lung cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAN Yu , ZHANG Yajie ,  LI Hecheng

Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, P.R.China;

Corresponding author：

LI Hecheng, Email: lihecheng2000@hotmail.com

Keywords：

Robotic surgery; early-stage lung cancer; segmentectomy

DOI：

10.7507/1007-4848.201811012

Video：

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Recently, anatomical segmentectomy emerges as a hot spot in clinical research for surgical treatment of early-stage lung cancer. The techniques of segmentectomy are more elaborate and complicated than lobectomy, because of the considerable anatomic variations of segment blood vessels and bronchus. In a long term, video-assisted thoracic surgery is the mainly minimally invasive approach. As a new approach of minimally invasive surgery, da Vinci robot system possesses three-dimensional and high definition view, better dexterity mechanical wrist and tremor filtering system, which are the main advantages over video-assisted thoracic surgery. All the superiorities of robot system provide good supports for performing segmentectomy. Robot-assisted segmentectomy has been carried out in many medical centers in China and abroad until now. However, most surgery cases often lack adequate controls on quality.

Citation： HAN Yu, ZHANG Yajie, LI Hecheng. Quality control of robot-assisted segmentectomy for early-stage lung cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(1): 16-20. doi: 10.7507/1007-4848.201811012 Copy

1.	Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin, 2017, 67(1): 7-30.
2.	Churchill ED, Belsey R. Segmental pneumonectomy in bronchiectasis: the lingula segment of the left upper lobe. Ann Surg, 1939, 109(4): 481-499.
3.	Jensik RJ, Faber LP, Milloy FJ, et al. Segmental resection for lung cancer. A fifteen-year experience. J Thorac Cardiovasc Surg, 1973, 66(4): 563-572.
4.	Harada H, Okada M, Sakamoto T, et al. Functional advantage after radical segmentectomy versus lobectomy for lung cancer. Ann Thorac Surg, 2005, 80(6): 2041-2045.
5.	Saito H, Nakagawa T, Ito M, et al. Pulmonary function after lobectomy versus segmentectomy in patients with stage Ⅰ non-small cell lung cancer. World J Surg, 2014, 38(8): 2025-2031.
6.	Schuchert MJ, Pettiford BL, Pennathur A, et al. Anatomic segmentectomy for stage Ⅰ non-small-cell lung cancer: comparison of video-assisted thoracic surgery versus open approach. J Thorac Cardiovasc Surg, 2009, 138(6): 1318-1325.
7.	Yang CF, D'Amico TA. Thoracoscopic segmentectomy for lung cancer. Ann Thorac Surg, 2012, 94(2): 668-681.
8.	El-Sherif A, Gooding WE, Santos R, et al. Outcomes of sublobar resection versus lobectomy for stage Ⅰ non-small cell lung cancer: a 13-year analysis. Ann Thorac Surg, 2006, 82(2): 408-415.
9.	Schuchert MJ, Pettiford BL, Keeley S, et al. Anatomic segmentectomy in the treatment of stage Ⅰ non-small cell lung cancer. Ann Thorac Surg, 2007, 84(3): 926-932.
10.	Morgan JA, Ginsburg ME, Sonett JR, et al. Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology. Eur J Cardiothorac Surg, 2003, 23(6): 883-887.
11.	Anderson CA, Hellan M, Falebella A, et al. Robotic-assisted lung resection for malignant disease. Innovations (Phila), 2007, 2(5): 254-258.
12.	Pardolesi A, Park B, Petrella F, et al. Robotic anatomic segmentectomy of the lung: technical aspects and initial results. Ann Thorac Surg, 2012, 94(3): 929-934.
13.	Cerfolio RJ, Watson C, Minnich DJ, et al. One hundred planned robotic segmentectomies: early results, technical details, and preferred port placement. Ann Thorac Surg, 2016, 101(3): 1089-1095.
14.	Toker A, Ayalp K, Uyumaz E, et al. Robotic lung segmentectomy for malignant and benign lesions. J Thorac Dis, 2014, 6(7): 937-942.
15.	Dylewski MR, Ohaeto AC, Pereira JF. Pulmonary resection using a total endoscopic robotic video-assisted approach. Semin Thorac Cardiovasc Surg, 2011, 23(1): 36-42.
16.	Demir A, Ayalp K, Ozkan B, et al. Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions. Interact Cardiovasc Thorac Surg, 2015, 20(3): 304-309.
17.	Echavarria MF, Cheng AM, Velez-Cubian FO, et al. Comparison of pulmonary function tests and perioperative outcomes after robotic-assisted pulmonary lobectomy vs segmentectomy. Am J Surg, 2016, 212(6): 1175-1182.
18.	Nguyen D, Gharagozloo F, Tempesta B, et al. Long-term results of robotic anatomical segmentectomy for early-stage non-small-cell lung cancer. Eur J Cardiothorac Surg, 2018, [Epub ahead of print].
19.	NCCN Clinical Practice Guidelines in Oncology: Non-Small Cell Lung Cancer (Version 1.2018). http://www.jnccn.org.
20.	Gharagozloo F, Margolis M, Tempesta B. Robot-assisted thoracoscopic lobectomy for early-stage lung cancer. Ann Thorac Surg, 2008, 85(6): 1880-1885.
21.	Ninan M, Dylewski MR. Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg, 2010, 38(2): 231-232.
22.	Nakamura H, Taniguchi Y. Robot-assisted thoracoscopic surgery: current status and prospects. Gen Thorac Cardiovasc Surg, 2013, 61(3): 127-132.
23.	Cerfolio RJ, Bryant AS, Skylizard L, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg, 2011, 142(4): 740-746.
24.	Kitagawa M, Dokko D, Okamura AM, et al. Effect of sensory substitution on suture-manipulation forces for robotic surgical systems. J Thorac Cardiovasc Surg, 2005, 129(1): 151-158.
25.	Pardolesi A, Veronesi G, Solli P, et al. Use of indocyanine green to facilitate intersegmental plane identification during robotic anatomic segmentectomy. J Thorac Cardiovasc Surg, 2014, 148(2): 737-738.
26.	Doddoli C, Aragon A, Barlesi F, et al. Does the extent of lymph node dissection influence outcome in patients with stage Ⅰ non-small-cell lung cancer? Eur J Cardiothorac Surg, 2005, 27(4): 680-685.
27.	Lardinois D, Suter H, Hakki H, et al. Morbidity, survival, and site of recurrence after mediastinal lymph-node dissection versus systematic sampling after complete resection for non-small cell lung cancer. Ann Thorac Surg, 2005, 80(1): 268-274.
28.	Darling GE, Allen MS, Decker PA, et al. Randomized trial of mediastinal lymph node sampling versus complete lymphadenectomy during pulmonary resection in the patient with N0 or N1(less than hilar) non-small cell carcinoma: results of the American College of Surgery Oncology Group Z0030 Trial. J Thorac Cardiovasc Surg, 2011, 141(3): 662-670.
29.	Veronesi G, Maisonneuve P, Pelosi G, et al. Screening-detected lung cancers: is systematic nodal dissection always essential? J Thorac Oncol, 2011, 6(3): 525-530.
30.	Cheng X, Zheng D, Li Y, et al. Tumor histology predicts mediastinal nodal status and may be used to guide limited lymphadenectomy in patients with clinical stage Ⅰ non-small cell lung cancer. J Thorac Cardiovasc Surg, 2018, 155(6): 2648-2656.
31.	Saji H, Inoue T, Kato Y, et al. Virtual segmentectomy based on high-quality three-dimensional lung modelling from computed tomography images. Interact Cardiovasc Thorac Surg, 2013, 17(2): 227-232.
32.	Ma Q, Bao T, Zhang H, et al. Anatomical video-assisted thoracoscopic surgery segmentectomies based on the three-dimensional reformation images. J Vis Surg, 2017, 3: 21.
33.	Wu WB, Xu XF, Wen W, et al. Thoracoscopic pulmonary sub-subsegmentectomy based on three-dimensional images. Ann Thorac Surg, 2016, 102(5): e389-e391.
34.	Baste JM, Soldea V, Lachkar S, et al. Development of a precision multimodal surgical navigation system for lung robotic segmentectomy. J Thorac Dis, 2018, 10(Suppl 10): S1195-S1204.
35.	Le Moal J, Peillon C, Dacher JN, et al. Three-dimensional computed tomography reconstruction for operative planning in robotic segmentectomy: a pilot study. J Thorac Dis, 2018, 10(1): 196-201.
36.	Toker A, Özyurtkan MO, Kaba E, et al. Robotic anatomic lung resections: the initial experience and description of learning in 102 cases. Surg Endosc, 2016, 30(2): 676-683.
37.	Meyer M, Gharagozloo F, Tempesta B, et al. The learning curve of robotic lobectomy. Int J Med Robot, 2012, 8(4): 448-452.
38.	Cerfolio RJ, Cichos KH, Wei B, et al. Robotic lobectomy can be taught while maintaining quality patient outcomes. J Thorac Cardiovasc Surg, 2016, 152(4): 991-997.
39.	Rinieri P, Peillon C, Salaün M, et al. Perioperative outcomes of video- and robot-assisted segmentectomies. Asian Cardiovasc Thorac Ann, 2016, 24(2): 145-151.

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin, 2017, 67(1): 7-30.
2. Churchill ED, Belsey R. Segmental pneumonectomy in bronchiectasis: the lingula segment of the left upper lobe. Ann Surg, 1939, 109(4): 481-499.
3. Jensik RJ, Faber LP, Milloy FJ, et al. Segmental resection for lung cancer. A fifteen-year experience. J Thorac Cardiovasc Surg, 1973, 66(4): 563-572.
4. Harada H, Okada M, Sakamoto T, et al. Functional advantage after radical segmentectomy versus lobectomy for lung cancer. Ann Thorac Surg, 2005, 80(6): 2041-2045.
5. Saito H, Nakagawa T, Ito M, et al. Pulmonary function after lobectomy versus segmentectomy in patients with stage Ⅰ non-small cell lung cancer. World J Surg, 2014, 38(8): 2025-2031.
6. Schuchert MJ, Pettiford BL, Pennathur A, et al. Anatomic segmentectomy for stage Ⅰ non-small-cell lung cancer: comparison of video-assisted thoracic surgery versus open approach. J Thorac Cardiovasc Surg, 2009, 138(6): 1318-1325.
7. Yang CF, D'Amico TA. Thoracoscopic segmentectomy for lung cancer. Ann Thorac Surg, 2012, 94(2): 668-681.
8. El-Sherif A, Gooding WE, Santos R, et al. Outcomes of sublobar resection versus lobectomy for stage Ⅰ non-small cell lung cancer: a 13-year analysis. Ann Thorac Surg, 2006, 82(2): 408-415.
9. Schuchert MJ, Pettiford BL, Keeley S, et al. Anatomic segmentectomy in the treatment of stage Ⅰ non-small cell lung cancer. Ann Thorac Surg, 2007, 84(3): 926-932.
10. Morgan JA, Ginsburg ME, Sonett JR, et al. Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology. Eur J Cardiothorac Surg, 2003, 23(6): 883-887.
11. Anderson CA, Hellan M, Falebella A, et al. Robotic-assisted lung resection for malignant disease. Innovations (Phila), 2007, 2(5): 254-258.
12. Pardolesi A, Park B, Petrella F, et al. Robotic anatomic segmentectomy of the lung: technical aspects and initial results. Ann Thorac Surg, 2012, 94(3): 929-934.
13. Cerfolio RJ, Watson C, Minnich DJ, et al. One hundred planned robotic segmentectomies: early results, technical details, and preferred port placement. Ann Thorac Surg, 2016, 101(3): 1089-1095.
14. Toker A, Ayalp K, Uyumaz E, et al. Robotic lung segmentectomy for malignant and benign lesions. J Thorac Dis, 2014, 6(7): 937-942.
15. Dylewski MR, Ohaeto AC, Pereira JF. Pulmonary resection using a total endoscopic robotic video-assisted approach. Semin Thorac Cardiovasc Surg, 2011, 23(1): 36-42.
16. Demir A, Ayalp K, Ozkan B, et al. Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions. Interact Cardiovasc Thorac Surg, 2015, 20(3): 304-309.
17. Echavarria MF, Cheng AM, Velez-Cubian FO, et al. Comparison of pulmonary function tests and perioperative outcomes after robotic-assisted pulmonary lobectomy vs segmentectomy. Am J Surg, 2016, 212(6): 1175-1182.
18. Nguyen D, Gharagozloo F, Tempesta B, et al. Long-term results of robotic anatomical segmentectomy for early-stage non-small-cell lung cancer. Eur J Cardiothorac Surg, 2018, [Epub ahead of print].
19. NCCN Clinical Practice Guidelines in Oncology: Non-Small Cell Lung Cancer (Version 1.2018). http://www.jnccn.org.
20. Gharagozloo F, Margolis M, Tempesta B. Robot-assisted thoracoscopic lobectomy for early-stage lung cancer. Ann Thorac Surg, 2008, 85(6): 1880-1885.
21. Ninan M, Dylewski MR. Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg, 2010, 38(2): 231-232.
22. Nakamura H, Taniguchi Y. Robot-assisted thoracoscopic surgery: current status and prospects. Gen Thorac Cardiovasc Surg, 2013, 61(3): 127-132.
23. Cerfolio RJ, Bryant AS, Skylizard L, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg, 2011, 142(4): 740-746.
24. Kitagawa M, Dokko D, Okamura AM, et al. Effect of sensory substitution on suture-manipulation forces for robotic surgical systems. J Thorac Cardiovasc Surg, 2005, 129(1): 151-158.
25. Pardolesi A, Veronesi G, Solli P, et al. Use of indocyanine green to facilitate intersegmental plane identification during robotic anatomic segmentectomy. J Thorac Cardiovasc Surg, 2014, 148(2): 737-738.
26. Doddoli C, Aragon A, Barlesi F, et al. Does the extent of lymph node dissection influence outcome in patients with stage Ⅰ non-small-cell lung cancer? Eur J Cardiothorac Surg, 2005, 27(4): 680-685.
27. Lardinois D, Suter H, Hakki H, et al. Morbidity, survival, and site of recurrence after mediastinal lymph-node dissection versus systematic sampling after complete resection for non-small cell lung cancer. Ann Thorac Surg, 2005, 80(1): 268-274.
28. Darling GE, Allen MS, Decker PA, et al. Randomized trial of mediastinal lymph node sampling versus complete lymphadenectomy during pulmonary resection in the patient with N0 or N1(less than hilar) non-small cell carcinoma: results of the American College of Surgery Oncology Group Z0030 Trial. J Thorac Cardiovasc Surg, 2011, 141(3): 662-670.
29. Veronesi G, Maisonneuve P, Pelosi G, et al. Screening-detected lung cancers: is systematic nodal dissection always essential? J Thorac Oncol, 2011, 6(3): 525-530.
30. Cheng X, Zheng D, Li Y, et al. Tumor histology predicts mediastinal nodal status and may be used to guide limited lymphadenectomy in patients with clinical stage Ⅰ non-small cell lung cancer. J Thorac Cardiovasc Surg, 2018, 155(6): 2648-2656.
31. Saji H, Inoue T, Kato Y, et al. Virtual segmentectomy based on high-quality three-dimensional lung modelling from computed tomography images. Interact Cardiovasc Thorac Surg, 2013, 17(2): 227-232.
32. Ma Q, Bao T, Zhang H, et al. Anatomical video-assisted thoracoscopic surgery segmentectomies based on the three-dimensional reformation images. J Vis Surg, 2017, 3: 21.
33. Wu WB, Xu XF, Wen W, et al. Thoracoscopic pulmonary sub-subsegmentectomy based on three-dimensional images. Ann Thorac Surg, 2016, 102(5): e389-e391.
34. Baste JM, Soldea V, Lachkar S, et al. Development of a precision multimodal surgical navigation system for lung robotic segmentectomy. J Thorac Dis, 2018, 10(Suppl 10): S1195-S1204.
35. Le Moal J, Peillon C, Dacher JN, et al. Three-dimensional computed tomography reconstruction for operative planning in robotic segmentectomy: a pilot study. J Thorac Dis, 2018, 10(1): 196-201.
36. Toker A, Özyurtkan MO, Kaba E, et al. Robotic anatomic lung resections: the initial experience and description of learning in 102 cases. Surg Endosc, 2016, 30(2): 676-683.
37. Meyer M, Gharagozloo F, Tempesta B, et al. The learning curve of robotic lobectomy. Int J Med Robot, 2012, 8(4): 448-452.
38. Cerfolio RJ, Cichos KH, Wei B, et al. Robotic lobectomy can be taught while maintaining quality patient outcomes. J Thorac Cardiovasc Surg, 2016, 152(4): 991-997.
39. Rinieri P, Peillon C, Salaün M, et al. Perioperative outcomes of video- and robot-assisted segmentectomies. Asian Cardiovasc Thorac Ann, 2016, 24(2): 145-151.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Quality control of robot-assisted segmentectomy for early-stage lung cancer

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