Robot-assisted major lung resection using the da Vinci Surgical System: The first case in Japan

  • Suda Takashi
    Division of General Thoracic Surgery, Department of Surgery, Fujita Health University School of Medicine
  • Sugimura Hiroshi
    Division of General Thoracic Surgery, Department of Surgery, Fujita Health University School of Medicine
  • Kitamura Yuka
    Division of General Thoracic Surgery, Department of Surgery, Fujita Health University School of Medicine
  • Tochii Sachiko
    Division of General Thoracic Surgery, Department of Surgery, Fujita Health University School of Medicine
  • Hattori Yoshinobu
    Division of General Thoracic Surgery, Department of Surgery, Fujita Health University School of Medicine

Bibliographic Information

Other Title
  • 肺癌に対するロボット支援手術の経験―ダビンチロボット支援肺癌手術本邦第1例―
  • The first case in Japan
  • —ダヴィンチロボット支援肺癌手術本邦第1例—

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Description

The da Vinci Surgical System is a telerobotic system consisting of 4 components, including the Insite vision system with a true 3-dimensional endoscope providing a high-resolution binocular view of the surgical field, and the Endo Wrist instrument system, which is capable of 7 degrees of freedom and 2 degrees of axial rotation to replicate human wrist-like movements. Right upper lobectomy + mediastinal lymph node dissection was performed in a 56-year-old woman with cT1bN0N0 stage IA lung adenocarcinoma. The operating time was 6 hours 48 minutes, and the blood loss was 234 g. The da Vinci Surgical System has useful advantages over conventional VATS surgery concerning the precise dissection of hilar structures and mediastinal lymph nodes. With further innovations in the future, the da Vinci Surgical System has the potential to facilitate technically difficult surgery employing conventional VATS techniques.

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