Perioperative outcomes of video- and robot-assisted segmentectomies

Rinieri, Philippe; Peillon, Christophe; Salaün, Mathieu; Mahieu, Julien; Bubenheim, Michael; Baste, Jean-Marc

doi:10.1177/0218492315627556

Cited by 26 publications

(19 citation statements)

References 19 publications

(19 reference statements)

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“…Moreover, we recorded a median operating time (skin to skin) for RATS segmentectomy of 90 min, which appears lower than in our previous series without marking (140 min) [17]. Similarly, we report a median operating time for VATS wedge resection of 40 min, compared to 69 min in other studies [18, 19].…”

Section: Discussionsupporting

confidence: 48%

Pleural Dye Marking Using Radial Endobronchial Ultrasound and Virtual Bronchoscopy before Sublobar Pulmonary Resection for Small Peripheral Nodules

et al. 2018

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Background: Minimally invasive surgery of pulmonary nodules allows suboptimal palpation of the lung compared to open thoracotomy. Objective: The objective of this study was to assess endoscopic pleural dye marking using radial endobronchial ultrasound (r-EBUS) and virtual bronchoscopy to localize small peripheral lung nodules immediately before minimally invasive resection. Methods: The endoscopic procedure was performed without fluoroscopy, under general anesthesia in the operating room immediately before minimally invasive surgery. Then, 1 mL of methylene blue (0.5%) was instilled into the guide sheath, wedged in the subpleural space. Wedge resection or segmentectomy were guided by visualization of the dye on the pleural surface. Contribution of dye marking to the surgical procedure was rated by the surgeon. Results: Twenty-five nodules, including 6 ground glass opacities, were resected in 22 patients by video-assisted thoracoscopic wedge resection (n = 11) or robotic-assisted thoracoscopic surgery (10 segmentectomies and 1 wedge resection). The median greatest diameter of nodules was 8 mm. No conversion to open thoracotomy was needed. The endoscopic procedure added an average 10 min to surgical resection. The dye was visible on the pleural surface in 24 cases. Histological diagnosis and free margin resection were obtained in all cases. Median skin-to-skin operating time was 90 min for robotic segmentectomy and 40 min for video-assisted wedge resection. The same operative precision was considered impossible by the surgeon without dye marking in 21 cases. Conclusions: Dye marking using r-EBUS and virtual bronchoscopy can be easily and safely performed to localize small pulmonary nodules immediately before minimally invasive resection.

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Section: Discussionsupporting

confidence: 48%

Pleural Dye Marking Using Radial Endobronchial Ultrasound and Virtual Bronchoscopy before Sublobar Pulmonary Resection for Small Peripheral Nodules

et al. 2018

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“…Its most visible benefits include a dramatic advance in visualization with magnified, highdefinition, three-dimensional imaging coupled with upgraded instrument maneuverability, building upon what have often been cited as critical weaknesses of video-assisted thoracoscopic surgery (VATS): limited, two-dimensional visualization along with restricted maneuverability (1,5,6). Moreover, robotic thoracic surgery has been demonstrated to reduce perioperative complications and hospital length of stay with similar effectiveness to open thoracotomy; direct comparisons to VATS, while limited, suggest similar efficacy (6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Tips and tricks to decrease the duration of operation in robotic surgery for lung cancer

2017

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Minimally invasive surgery (MIS) for lung cancer has been associated with decreased perioperative morbidity while maintaining similar long-term survival when compared to open thoracotomy.Robotic thoracic surgery constitutes an evolutionary step in this field, beckoning dramatic advancements both in visualization as well as surgical instrument range of motion and ergonomics. As such, robotic thoracic surgery is growing in adoption worldwide. One of its oft-cited disadvantages, however, is increased operative time, especially for less-experienced surgeons. We describe an assortment of tips and tricks that we conclude can safely reduce robotic operative duration.

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“…Access incisions are used occasionally but often in the beginning of one's robotic experience. Table 1 3,4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] lists the articles that met our criteria for pulmonary resection.…”

Section: Resultsmentioning

confidence: 99%

Consensus statement on definitions and nomenclature for robotic thoracic surgery

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Louie

Farivar

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

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Perioperative outcomes of video- and robot-assisted segmentectomies

Cited by 26 publications

References 19 publications

Pleural Dye Marking Using Radial Endobronchial Ultrasound and Virtual Bronchoscopy before Sublobar Pulmonary Resection for Small Peripheral Nodules

Pleural Dye Marking Using Radial Endobronchial Ultrasound and Virtual Bronchoscopy before Sublobar Pulmonary Resection for Small Peripheral Nodules

Tips and tricks to decrease the duration of operation in robotic surgery for lung cancer

Consensus statement on definitions and nomenclature for robotic thoracic surgery

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