Original articleGeneral thoracicRobotic Anatomic Segmentectomy of the Lung: Technical Aspects and Initial Results
Section snippets
Patients
We retrospectively reviewed prospectively archived data on 17 consecutive patients who underwent robotic pulmonary segmentectomy from January 2008 to December 2010 at the Memorial Sloan-Kettering Cancer Center (New York), the European Institute of Oncology (Milan, Italy), and the Hackensack University Medical Center (New Jersey). The operations were performed by two surgeons (G.V., B.P.). Waiver of authorization for the study was approved by the Institutional Review Board of each institution.
Results
From January 1, 2008, to December 1 2010, 17 consecutive patients underwent robot-assisted lung anatomic segmentectomy. There were 10 women (58.8%) and 7 men (41.2%). Mean age was 68.2 years (range, 32 to 82). Mean operative time was 189 minutes (range, 138 to 240). Distribution of anatomic segmentectomy is listed in Table 1.
There was a preponderance of lower lobe lesions (11 of 17; 64.7%). No conversions to either VATS or thoracotomy were required. Length of stay ranged from 2 to 14 days, with
Comment
Anatomic segmentectomy is the excision of one or more of the bronchopulmonary segments of a lung lobe, with ligation and division of each of the bronchi and vessels serving those segments. Lung segmentectomy was first introduced nearly 70 years ago to treat benign lung tumors [13]. Interest in anatomic lung segmentectomy has increased further after the adoption of high-resolution CT and implementation of lung cancer screening studies, which are increasing the detection rate of small lung
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