Robotic-Assisted Right Upper Lobectomy for an 11-cm Non-Small Cell Lung Cancer
Nguyen M. Le, MD, Laurence N. Spier, MD, Richard S. Lazzaro, MD.
Northwell Health - Lenox Hill Hospital, New York, NY, USA.
OBJECTIVE: This video demonstrates a robotic-assisted right upper lobectomy for an 11-cm non-small cell lung cancer.
METHODS: A 52-year-old male with a 20-pack-year smoking history and COPD was found to have a 10-cm mass on CT in the right upper lobe. Percutaneous biopsy revealed non-small cell carcinoma. PET and EBUS revealed no mediastinal disease. The patient was placed in left lateral decubitus. Five ports were used - four for the robot and one access port. A robotic-assisted right upper lobectomy and mediastinal lymph node dissection was performed without complication.
RESULTS: Final pathology revealed a 10.9 x 10.2 x 7.5 cm poorly differentiated non-small cell carcinoma with clear bronchial and vascular margin. Level 4-12 lymph nodes 1 out 15 positive (level 11). The tumor was pT3N1, stage IIIA. The patient was discharged on POD2 and referred for adjuvant chemotherapy.
CONCLUSIONS: Robotic-assisted lobectomies for large tumors are safe and feasible.
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