机器人辅助胸腔镜左肺下叶切除两例

目的探索应用DaVinci S机器人辅助胸腔镜进行左肺下叶切除治疗非小细胞肺癌,观察其安全性,手术效果,以及相较于电视辅助胸腔镜手术（VATS）的优势。方法应用DaVinci S机器人辅助胸腔镜治疗非小细胞肺癌,进行左肺下叶切除2例,加系统性淋巴结清扫。结果 2例患者均获手术成功,无中转开胸,无手术并发症发生,无死亡,平均手术时间252.5min,术中出血量150ml,术后住院时间5d。围手术期未输血,术后恢复快、疼痛轻。结论机器人辅助胸腔镜左肺下叶切除初步证明是安全有效的,相较于VATS,有更逼真的视野,更灵活稳定的操作,从而具备更宽泛的手术适应证,是新一代微创胸部手术的重要选择。

Robot-assisted left lower lobectomy with report of 2 cases

Objective To investigate the safety and efficacy of robot-assisted left lower lobectomy for non-small cell lung cancer, and the advantages compared with video-assisted thoracoscopic surgery （ VATS ）. Methods Two non-small cell lung cancer （ NSCLC ） cases underwent robot-assisted left lower lobectomies, plus systematic lymphadenectomies. Results Both 2 surgeries were accomplished successfully, no conversion, no mortality or mobidity. Mean operating time was 252.5 minutes, blood loss was 150 ml, postoperatively hospital-stay was 5 days, no perioperative transfusion. After surgery, both 2 cases were in good recovery with less pain. Conclusions Compared with video-assisted thoracoscopic surgery, robot-assisted left lower lobectomy is initially proved safe and feasible with enhanced visualization and improved dexterity, so that the indication is widened. In this case, robot-assisted left lower lobectomy is going to be an important option in the new age of minimally invasive thoracic surgery.