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ISMICS 2023 Annual Meeting

31 May - 3 June, 2023 | Boston, MA

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PC78

The Progress Of Robotic Pulmonary Sleeve Resection And Ruijin Experience

Part of Topic

Thoracic Surgery

The Progress Of Robotic Pulmonary Sleeve Resection And Ruijin Experience

Dong Dong, Hecheng Li. 
Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

BACKGOUND:Pulmonary sleeve resection (PSR) was first attempted in the 1940s and began to be utilized in the 1980s for the treatment of lung cancer. Nowadays, the development of video-assisted thoracic surgery (VATs) and robotic surgery system made it possible to perform PSR in a minimally invasive way. Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, as one of the earliest centers to perform robot-assisted thoracic surgery in China, has carried out more than 1,300 robotic lung cancer surgeries since May 2015, including robotic PSR (RPSR). This study aims to investigate the safety and efficacy of RPSR in the treatment of lung cancer by summarizing international studies along with the surgical experience of our center.

METHODS: A review of articles related to RPSR and summarize the results of RPSR performed at Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine.

RESULTS:

Review:

•The first publication of RPSR was in 2011.
•In 2019, Qiu et al. comparedrobotic, video-assisted and open PSR: RPSR performed better in bleeding (P < .001), operative time (P < .001) and chest tube stay (P < .001).
•RPSR holds a potential benefit of lymph node dissection (P = 0.003)  compared to video-assisted PSR  (Jin et al. 2022).
•A cohort of 104 patients underwent RPSR: 73.0% OS rate and 67.9% DFS rate (Liu et al. 2022).

Our center:

•11 cases of RPSR from  2015.5 to 2022.12
•Median operation time: 220 (range 167.5-283.5) min.
•Median length of postoperative hospital stay : 8 (range 6.5-10.5)days.
•Median length of chest tube stay : 6 (range 4.5-8.5)  days

CONCLUSIONS: The series of studies and experience of our center showed that RPSR is a safe and feasible procedure for appropriate patients. Our limited experience demonstrates that operative time can be further shortened with the increase of experience in robotic surgery and the optimization of suture mode.

 


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