Case Report
Year 2022,
Volume: 1 Issue: 3, 155 - 157, 19.12.2022
Abstract
Amaç: Akciğer kanserlerinde erken evrede ana tedavi cerrahi rezeksiyondur. Ancak video torasik yardımlı torasik cerrahi (VATS) tekniğinin ameliyat esnasında bazı kısıtlılıkları bulunmaktadır. Bu nedenle robotik cerrahi teknik ile VATS’ın birleşimi olan cerrah destekli robotic cerrahi (SpRS) enstrümanlar kullanılmaya başlanmıştır. Bu makalede SpRS ile yaptığımız bir subskifoid sağ üst lobektomi olgusu sunulmuştur. Olgu: Atmış üç yaşında erkek hasta, iki yıl önce COVID-19 şüphesi ile çekilen toraks bilgisayarlı tomografisinde saptanan bir lezyonun takipleri sırasında, sağ akciğer üst lobda yeni gelişen soliter pulmoner nodül nedeniyle tarafımıza başvurdu. Hastaya çekilen pozitron eminisyon tomografisinde (PET-BT) mevcut lezyonda yüksek FDG tutulumunun da olması üzerine hastaya cerrah destekli robotik subksifoid sağ üst lobektomi yapıldı. Sonuçlar: Minimal invaziv cerrahi, gelişen teknolojiler ile birlikte, toraktomi ile yaptığımız ameliyatları çok daha küçük kesiler ile gerçekleştirmeyi sağlamaktadır. Cerrah destekli robotik cerrahi aletler ile subksifoid rezeksiyonlar daha kolay ve onkolojik prensiplere uygun olarak uygulanabilmektedir.
Keywords
Supporting Institution
Yok
References
- 1. Trevis J, Chilvers N, Freystaetter K, Dunning J. Surgeon-Powered Robotics in Thoracic Surgery; An Era of Surgical Innovation and Its Benefits for the Patient and Beyond. Front Surg. 2020 Nov 26;7:589565.
- 2. Sezen CB, Metin M. Surgeon powered robotic lobectomy: first case performed in turkey. Curr Thorac Surg. 2022;7:51.
- 3. Darwich I, Abuassi M, Aliyev R, Scheidt M, Alkadri MA, Hees A et al. Early experience with the ARTISENTIAL® articulated instruments in laparoscopic low anterior resection with TME. Tech Coloproctology. 2022;26:373–86.
- 4. Jin H, Ibahim A, Bae J, Lee C, Han S, Lee I, et al. Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential ® , a new laparoscopic articulating instrument. J Minimal Access Surg. 2022;18:235-40.
- 5. Augustin F, Bodner J, Maier H, Schwinghammer C, Pichler B, Lucciarini P et al. Robotic-assisted minimally invasive vs. thoracoscopic lung lobectomy: comparison of perioperative results in a learning curve setting. Langenbecks Arch Surg. 2013;398:895–901.
- 6. Cansever L, Sezen CB, Yaran OV, Bedirhan MA. Comparison of short-term quality of life in patients undergoing video-assisted thoracoscopic surgery versus thoracotomy. Turk J Thorac Cardiovasc Surg. 2020;28:623.
- 7. Abdellateef A, Ma X, Chen Z, Wu L, Cai J, Jiang L. Subxiphoid uniportal thoracoscopic pulmonary segmentectomy for stage I non‐small cell lung cancer: Feasibility, quality of life and financial worthiness. Thorac Cancer. 2020;11:1414–22.
- 8. Cai H, Xie D, Al Sawalhi S, Jiang L, Zhu Y, Jiang G et al. Subxiphoid versus intercostal uniportal video-assisted thoracoscopic surgery for bilateral lung resections: a single-institution experience. Eur J Cardiothorac Surg. 2020;57:343–9.
- 9. Mei LX, Wang YY, Chen Y, Dai L, Chen MW. Subxiphoid versus intercostal video-assisted thoracic surgery for lung resection: a meta-analysis. Minim Invasive Ther Allied Technol. 2022;31:359–69.
- 10. Song N, Zhao DP, Jiang L, Bao Y, Jiang GN, Zhu YM et al. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases. J Thorac Dis. 2016;8:S251-57.
Year 2022,
Volume: 1 Issue: 3, 155 - 157, 19.12.2022
Abstract
Background:
Surgical resection is the first choice of treatment in early-stage lung cancer. Video thoracoscopy Assisted Thoracic Surgery (VATS) has limitations in surgery; therefore, Surgeon Powered Robotic Surgery (SPRS), a hybrid of robotic surgery and VATS, is recently preferred. This study describes a subxiphoid right upper lobectomy with SPRS technology.
Case:
A 63-year-old male patient under routine observation for 2 years because of a nodule was referred to our clinic because of a recently developed solitary pulmonary nodule located in the right upper lobe seen in a recent thoracic computed tomography (CT). The patient underwent subxiphoid right upper lobectomy with SPRS technology. A staging positron emission tomography-computed tomography (PET-CT) was performed, and high FDG uptake was reported.
Result:
Due to technological advancements in minimally invasive surgery, the operations can be completed from smaller incisions than a thoracotomy. Subxiphoid resections can be more accessible while following the oncological principles when SPRS instruments are used.
Keywords
References
- 1. Trevis J, Chilvers N, Freystaetter K, Dunning J. Surgeon-Powered Robotics in Thoracic Surgery; An Era of Surgical Innovation and Its Benefits for the Patient and Beyond. Front Surg. 2020 Nov 26;7:589565.
- 2. Sezen CB, Metin M. Surgeon powered robotic lobectomy: first case performed in turkey. Curr Thorac Surg. 2022;7:51.
- 3. Darwich I, Abuassi M, Aliyev R, Scheidt M, Alkadri MA, Hees A et al. Early experience with the ARTISENTIAL® articulated instruments in laparoscopic low anterior resection with TME. Tech Coloproctology. 2022;26:373–86.
- 4. Jin H, Ibahim A, Bae J, Lee C, Han S, Lee I, et al. Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential ® , a new laparoscopic articulating instrument. J Minimal Access Surg. 2022;18:235-40.
- 5. Augustin F, Bodner J, Maier H, Schwinghammer C, Pichler B, Lucciarini P et al. Robotic-assisted minimally invasive vs. thoracoscopic lung lobectomy: comparison of perioperative results in a learning curve setting. Langenbecks Arch Surg. 2013;398:895–901.
- 6. Cansever L, Sezen CB, Yaran OV, Bedirhan MA. Comparison of short-term quality of life in patients undergoing video-assisted thoracoscopic surgery versus thoracotomy. Turk J Thorac Cardiovasc Surg. 2020;28:623.
- 7. Abdellateef A, Ma X, Chen Z, Wu L, Cai J, Jiang L. Subxiphoid uniportal thoracoscopic pulmonary segmentectomy for stage I non‐small cell lung cancer: Feasibility, quality of life and financial worthiness. Thorac Cancer. 2020;11:1414–22.
- 8. Cai H, Xie D, Al Sawalhi S, Jiang L, Zhu Y, Jiang G et al. Subxiphoid versus intercostal uniportal video-assisted thoracoscopic surgery for bilateral lung resections: a single-institution experience. Eur J Cardiothorac Surg. 2020;57:343–9.
- 9. Mei LX, Wang YY, Chen Y, Dai L, Chen MW. Subxiphoid versus intercostal video-assisted thoracic surgery for lung resection: a meta-analysis. Minim Invasive Ther Allied Technol. 2022;31:359–69.
- 10. Song N, Zhao DP, Jiang L, Bao Y, Jiang GN, Zhu YM et al. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases. J Thorac Dis. 2016;8:S251-57.
There are 10 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 19, 2022 |
| Submission Date | June 21, 2022 |
| Published in Issue | Year 2022 Volume: 1 Issue: 3 |
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