Thoracic Cancer (May 2022)

Two‐port robotic sleeve lobectomy using Stratafix sutures for central lung tumors

  • Ji‐chen Qu,
  • Wen‐tian Zhang,
  • Lei Jiang

DOI
https://doi.org/10.1111/1759-7714.14412
Journal volume & issue
Vol. 13, no. 10
pp. 1457 – 1462

Abstract

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Abstract Objectives To explore the feasibility of two‐port robotic sleeve lobectomy using Stratafix sutures for central lung tumors, and to summarize the surgical techniques and clinical outcomes. Methods We retrospectively evaluated 15 consecutive patients who underwent robotic bronchial sleeve lobectomy, performed by a single surgeon between March 2021 and September 2021. A half‐continuous suture technique with two Stratafix sutures was used for bronchial anastomosis. The operative techniques and outcomes were analyzed. Results Complete resection was achieved in all patients undergoing different types of robotic bronchial sleeve lobectomy. There were no conversions to thoracotomy. The mean duration of surgery was 102.35 ± 46.31 min, mean time for bronchial anastomosis was 25.8 ± 15.2 min, mean blood loss was 64.71 ± 38.59 ml, and mean postoperative hospital stay was 4.76 ± 2.54 days. There was no death on follow‐up within 90 days after surgery. Conclusions Two‐port robotic bronchial sleeve lobectomy and the novel anastomotic technique are both feasible and safe for selected patients.

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