Perioperative efficacy and safety of da Vinci robot-assisted bronchial sleeve lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Siyuan ^1,2 ,  DONG Xinchun ¹ ,  GOU Yunjiu ¹ , HAN Songchen ¹ , CHEN Meng ^1,2 , JIN Dacheng ^1,2

1. Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China;
2. School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, 730000, P.R.China;

Corresponding author：

DONG Xinchun, Email: 3050319523@qq.com; GOU Yunjiu, Email: gouyunjiu@163.com

Keywords：

Non-small cell lung cancer; da Vinci robot system; sleeve lobectomy; surgery

DOI：

10.7507/1007-4848.202003013

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective Through the perioperative outcome analysis of da Vinci robot-assisted sleeve lobectomy, to clarify its efficacy and safety.Methods A retrospective analysis was performed on 10 patients with centrally located lung cancer undergoing robot-assisted sleeve lobectomy from March to December 2019 in our center, including 9 males and 1 female, aged 45-67 (55.0±8.9) years. Preoperative imaging and bronchoscopy showed central non-small cell lung cancer, involving the right upper lung in 3 patients, right lower lung in 2 patients, the left upper lung in 4 patients, and left lower lung in 1 patient. The operation time, Docking time, intraoperative blood loss volume, bronchial anastomosis time, number of dissected lymph nodes, drainage volume and postoperative hospital stay were analyzed.Results The da Vinci robot-assisted bronchial sleeve lobectomy was completed smoothly on 10 patients. The operation time was 135-183 (157.8±14.3) min, Docking time 6-15 (10.0±2.9) min, intraoperative blood loss volume 55-250 (124.5±61.8) mL, bronchial anastomosis time 17-40 (27.7±7.3) min, the number of dissected lymph nodes 16-23 (19.7±2.8), the drainage volume 200-600 (348.0±148.4) mL and postoperative hospital stay 7-11 (8.7±1.6) d. All patients had no bronchopleural fistula, pulmonary infection or atelectasis, and there was no perioperative death. Postoperative pathological findings were all squamous cell carcinoma.Conclusion Da Vinci robot-assisted sleeve lobectomy is safe and effective.

Citation： ZHANG Siyuan, DONG Xinchun, GOU Yunjiu, HAN Songchen, CHEN Meng, JIN Dacheng. Perioperative efficacy and safety of da Vinci robot-assisted bronchial sleeve lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(10): 1145-1149. doi: 10.7507/1007-4848.202003013 Copy

1.	Rossi D. What can we save for the first-line treatment of NSCLC in 2016? World J Oncol, 2017, 8(2): 31-33.
2.	Liu L, Mei J, Pu Q, <italic>et al</italic>. Thoracoscopic bronchovascular double sleeve lobectomy for non-small-cell lung cancer. Eur J Cardiothorac Surg, 2014, 46(3): 493-495.
3.	Huang J, Li J, Qiu Y, <italic>et al</italic>. Thoracoscopic double sleeve lobectomy in 13 patients: A series report from multi-centers. J Thorac Dis, 2015, 7(5): 834-842.
4.	Qu R, Ping W, Hao Z, <italic>et al</italic>. Surgical outcomes of segmental bronchial sleeve resection in central non-small cell lung cancer. Thorac Cancer, 2020, 11(5): 1319-1325.
5.	Hong TH, Cho JH, Shin S, <italic>et al</italic>. Extended sleeve lobectomy for centrally located non-small-cell lung cancer: A 20-year single-centre experience. Eur J Cardiothorac Surg, 2018, 54(1): 142-148.
6.	Kaur MN, Xie F, Shiwcharan A, <italic>et al</italic>. Robotic versus video-assisted thoracoscopic lung resection during early program development. Ann Thorac Surg, 2018, 105(4): 1050-1057.
7.	Ettinger DS, Bepler G, Bueno R, <italic>et al</italic>. Non-small cell lung cancer clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2006, 4(6): 548-582.
8.	Deslauriers J, Grégoire J, Jacques LF, <italic>et al</italic>. Sleeve lobectomy versus pneumonectomy for lung cancer: A comparative analysis of survival and sites or recurrences. Ann Thorac Surg, 2004, 77(4): 1152-1156.
9.	Bagan P, Berna P, Pereira JC, <italic>et al</italic>. Sleeve lobectomy versus pneumonectomy: Tumor characteristics and comparative analysis of feasibility and results. Ann Thorac Surg, 2005, 80(6): 2046-2050.
10.	Ludwig C, Stoelben E, Olschewski M, <italic>et al</italic>. Comparison of morbidity, 30-day mortality, and long-term survival after pneumonectomy and sleeve lobectomy for non-small cell lung carcinoma. Ann Thorac Surg, 2005, 79(3): 968-973.
11.	Ma Z, Dong A, Fan J, <italic>et al</italic>. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg, 2007, 32(1): 20-28.
12.	Kim YT, Kang CH, Sung SW, <italic>et al</italic>. Local control of disease related to lymph node involvement in non-small cell lung cancer after sleeve lobectomy compared with pneumonectomy. Ann Thorac Surg, 2005, 79(4): 1153-1161.
13.	Milman S, Kim AW, Warren WH, <italic>et al</italic>. The incidence of perioperative anastomotic complications after sleeve lobectomy is not increased after neoadjuvant chemoradiotherapy. Ann Thorac Surg, 2009, 88(3): 945-950.
14.	Van Shil PE, Vankeirsbilck J, de la RivièreAB, <italic>et al</italic>. Long-term survival after bronchial sleeve resection in relation to nodal involvement. Eur J Cardiothorac Surg, 2000, 17(2): 196-197.
15.	Schirren J, Bölükbas S, Bergmann T, <italic>et al</italic>. Prospective study on perioperative risks and functional results in bronchial and bronchovascular sleeve resections. Thorac Cardiovasc Surg, 2009, 57(1): 35-41.
16.	Lococo F, Cesario A, Cusumano G, <italic>et al</italic>. Sleeve lobectomy for NSCLC treatment: A simple surgical choice or a mandatory need in high-risk patients? Thorac Cardiovasc Surg, 2012, 60(2): 177-178.
17.	潘茂杰, 魏煜程. 袖式肺叶切除术在非小细胞肺癌中的应用. 中国胸心血管外科临床杂志, 2018, 25(6): 526-532.
18.	瞿冀琛, 朱余明, 赵德平, 等. 单孔全胸腔镜下袖式肺叶切除术 114 例临床分析. 中华外科杂志, 2018, 56(12): 938-940.
19.	蔡海波, 李迎新, 张士法, 等. 全胸腔镜解剖性肺段切除术 12 例报告. 中国微创外科杂志, 2014, 14(2): 155-157.
20.	Okumura M, Goto M, Ideguchi K, <italic>et al</italic>. Factors associated with outcome of segmentectomy for non-small cell lung cancer: long-term follow-up study at a single institution in Japan. Lung Cancer, 2007, 58(2): 231-237.
21.	Schuchert MJ, Pettiford BL, Keeley S, <italic>et al</italic>. Anatomic segmentectomy in the treatment of stageⅠ non-small cell lung cancer. Ann Thorac Surg, 2007, 84(3): 926-932.
22.	杨德松, 王文祥, 周勇, 等. 全胸腔镜袖式肺叶切除治疗中央型肺癌的学习曲线. 中华胸心血管外科杂志, 2019, 35(7): 385-389.
23.	Diana M, Marescaux J. Robotic surgery. Br J Surg, 2015, 102(2): e15-e28.
24.	Ishikawa N, Sun YS, Nifong LW, <italic>et al</italic>. Thoracoscopic robot-assisted bronchoplasty. Surg Endosc, 2006, 20(11): 1782-1783.
25.	Nakamura H, Taniguchi Y, Miwa K, <italic>et al</italic>. A successful case of robotic bronchoplastic lobectomy for lung cancer. Ann Thorac Cardiovasc Surg, 2013, 19(6): 478-480.
26.	Schmid T, Augustin F, Kainz G, <italic>et al</italic>. Hybrid video-assisted thoracic surgery-robotic minimally invasive right upper lobe sleeve lobectomy. Ann Thorac Surg, 2011, 91(6): 1961-1965.
27.	Zhao YD, Jiao WJ, Ren XY, <italic>et al</italic>. Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system. J Cardiothorac Surg, 2016, 11(1): 59.
28.	Min SJ, Do YK, Jin YJ, <italic>et al</italic>. Robotic sleeve lobectomy with four arms for lung cancer centrally located in the right lower lobe: a case report. J Cardiothorac Surg, 2017, 12: 108.
29.	Cerfolio RJ, Bryant AS, Skylizard L, <italic>et al</italic>. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg, 2011, 142(4): 740-746.
30.	He HQ, Wu QF, Zhe W, <italic>et al</italic>. Short-term outcomes of robot-assisted minimally invasive esophagectomy for esophageal cancer: a propensity score matched analysis. J Cardiothorac Surg, 2018, 13: 52-56.

1. Rossi D. What can we save for the first-line treatment of NSCLC in 2016? World J Oncol, 2017, 8(2): 31-33.
2. Liu L, Mei J, Pu Q, <italic>et al</italic>. Thoracoscopic bronchovascular double sleeve lobectomy for non-small-cell lung cancer. Eur J Cardiothorac Surg, 2014, 46(3): 493-495.
3. Huang J, Li J, Qiu Y, <italic>et al</italic>. Thoracoscopic double sleeve lobectomy in 13 patients: A series report from multi-centers. J Thorac Dis, 2015, 7(5): 834-842.
4. Qu R, Ping W, Hao Z, <italic>et al</italic>. Surgical outcomes of segmental bronchial sleeve resection in central non-small cell lung cancer. Thorac Cancer, 2020, 11(5): 1319-1325.
5. Hong TH, Cho JH, Shin S, <italic>et al</italic>. Extended sleeve lobectomy for centrally located non-small-cell lung cancer: A 20-year single-centre experience. Eur J Cardiothorac Surg, 2018, 54(1): 142-148.
6. Kaur MN, Xie F, Shiwcharan A, <italic>et al</italic>. Robotic versus video-assisted thoracoscopic lung resection during early program development. Ann Thorac Surg, 2018, 105(4): 1050-1057.
7. Ettinger DS, Bepler G, Bueno R, <italic>et al</italic>. Non-small cell lung cancer clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2006, 4(6): 548-582.
8. Deslauriers J, Grégoire J, Jacques LF, <italic>et al</italic>. Sleeve lobectomy versus pneumonectomy for lung cancer: A comparative analysis of survival and sites or recurrences. Ann Thorac Surg, 2004, 77(4): 1152-1156.
9. Bagan P, Berna P, Pereira JC, <italic>et al</italic>. Sleeve lobectomy versus pneumonectomy: Tumor characteristics and comparative analysis of feasibility and results. Ann Thorac Surg, 2005, 80(6): 2046-2050.
10. Ludwig C, Stoelben E, Olschewski M, <italic>et al</italic>. Comparison of morbidity, 30-day mortality, and long-term survival after pneumonectomy and sleeve lobectomy for non-small cell lung carcinoma. Ann Thorac Surg, 2005, 79(3): 968-973.
11. Ma Z, Dong A, Fan J, <italic>et al</italic>. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg, 2007, 32(1): 20-28.
12. Kim YT, Kang CH, Sung SW, <italic>et al</italic>. Local control of disease related to lymph node involvement in non-small cell lung cancer after sleeve lobectomy compared with pneumonectomy. Ann Thorac Surg, 2005, 79(4): 1153-1161.
13. Milman S, Kim AW, Warren WH, <italic>et al</italic>. The incidence of perioperative anastomotic complications after sleeve lobectomy is not increased after neoadjuvant chemoradiotherapy. Ann Thorac Surg, 2009, 88(3): 945-950.
14. Van Shil PE, Vankeirsbilck J, de la RivièreAB, <italic>et al</italic>. Long-term survival after bronchial sleeve resection in relation to nodal involvement. Eur J Cardiothorac Surg, 2000, 17(2): 196-197.
15. Schirren J, Bölükbas S, Bergmann T, <italic>et al</italic>. Prospective study on perioperative risks and functional results in bronchial and bronchovascular sleeve resections. Thorac Cardiovasc Surg, 2009, 57(1): 35-41.
16. Lococo F, Cesario A, Cusumano G, <italic>et al</italic>. Sleeve lobectomy for NSCLC treatment: A simple surgical choice or a mandatory need in high-risk patients? Thorac Cardiovasc Surg, 2012, 60(2): 177-178.
17. 潘茂杰, 魏煜程. 袖式肺叶切除术在非小细胞肺癌中的应用. 中国胸心血管外科临床杂志, 2018, 25(6): 526-532.
18. 瞿冀琛, 朱余明, 赵德平, 等. 单孔全胸腔镜下袖式肺叶切除术 114 例临床分析. 中华外科杂志, 2018, 56(12): 938-940.
19. 蔡海波, 李迎新, 张士法, 等. 全胸腔镜解剖性肺段切除术 12 例报告. 中国微创外科杂志, 2014, 14(2): 155-157.
20. Okumura M, Goto M, Ideguchi K, <italic>et al</italic>. Factors associated with outcome of segmentectomy for non-small cell lung cancer: long-term follow-up study at a single institution in Japan. Lung Cancer, 2007, 58(2): 231-237.
21. Schuchert MJ, Pettiford BL, Keeley S, <italic>et al</italic>. Anatomic segmentectomy in the treatment of stageⅠ non-small cell lung cancer. Ann Thorac Surg, 2007, 84(3): 926-932.
22. 杨德松, 王文祥, 周勇, 等. 全胸腔镜袖式肺叶切除治疗中央型肺癌的学习曲线. 中华胸心血管外科杂志, 2019, 35(7): 385-389.
23. Diana M, Marescaux J. Robotic surgery. Br J Surg, 2015, 102(2): e15-e28.
24. Ishikawa N, Sun YS, Nifong LW, <italic>et al</italic>. Thoracoscopic robot-assisted bronchoplasty. Surg Endosc, 2006, 20(11): 1782-1783.
25. Nakamura H, Taniguchi Y, Miwa K, <italic>et al</italic>. A successful case of robotic bronchoplastic lobectomy for lung cancer. Ann Thorac Cardiovasc Surg, 2013, 19(6): 478-480.
26. Schmid T, Augustin F, Kainz G, <italic>et al</italic>. Hybrid video-assisted thoracic surgery-robotic minimally invasive right upper lobe sleeve lobectomy. Ann Thorac Surg, 2011, 91(6): 1961-1965.
27. Zhao YD, Jiao WJ, Ren XY, <italic>et al</italic>. Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system. J Cardiothorac Surg, 2016, 11(1): 59.
28. Min SJ, Do YK, Jin YJ, <italic>et al</italic>. Robotic sleeve lobectomy with four arms for lung cancer centrally located in the right lower lobe: a case report. J Cardiothorac Surg, 2017, 12: 108.
29. Cerfolio RJ, Bryant AS, Skylizard L, <italic>et al</italic>. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg, 2011, 142(4): 740-746.
30. He HQ, Wu QF, Zhe W, <italic>et al</italic>. Short-term outcomes of robot-assisted minimally invasive esophagectomy for esophageal cancer: a propensity score matched analysis. J Cardiothorac Surg, 2018, 13: 52-56.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Perioperative efficacy and safety of da Vinci robot-assisted bronchial sleeve lobectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content