| Experience With Robotic Lobectomy for Lung Cancer. | |
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MedLine Citation:
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PMID: 22436769 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE:: In this study, we analyze our experience so far with robotic pulmonary lobectomy, compare it with published data, and suggest a learning curve for the operation. METHODS:: Ninety-one patients with suspected or proven clinical stage I-III lung cancer underwent robotic lobectomy. Selection criteria included lesion <5 cm and normal respiratory function. One surgeon performed the operations using the da Vinci system with three ports and a 3-cm utility thoracotomy. RESULTS:: Median duration of operation was 239 (range 85-411) minutes, 260 minutes in the first 18 patients and 221 minutes in the remaining 73 cases (P=0.01). Median hospitalization declined from 6 days in the first 18 cases to 5 days in the remaining cases (P=0.002). Conversion rate and number of complications reduced nonsignificantly from the initial to later series. Major complications occurred in 11% of the first 18 cases and 4% of the later cases. The number of lymph nodes removed did not change over the two series. There was no 30-day postoperative mortality. After a median follow-up of 24 months, 80 of 91 patients were alive with no sign of disease. CONCLUSIONS:: Our data suggest that about 20 operations are required to achieve surgical competence. Robotic lobectomy appears safe, oncologically radical, and associated with shorter postoperative hospitalization than open surgery. |
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Authors:
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Giulia Veronesi; Bernardo G Agoglia; Franca Melfi; Patrick Maisonneuve; Raffaella Bertolotti; Paolo P Bianchi; Bernardo Rocco; Alessandro Borri; Roberto Gasparri; Lorenzo Spaggiari |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Innovations (Philadelphia, Pa.) Volume: 6 ISSN: 1559-0879 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2012-3-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101257528 Medline TA: Innovations (Phila) Country: - |
Other Details:
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Languages: ENG Pagination: 355-360 Citation Subset: - |
Affiliation:
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From the *Thoracic Surgery Division, European Institute of Oncology, Milan, Italy; †Division of Thoracic Surgery, Cisanello Hospital, Pisa, Italy; ‡Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy; §Unit of Minimally Invasive Surgery, Division of General Surgery, European Institute of Oncology, Milan, Italy; ‖Institute of Urology, University of Milan, Fondazione Ca' Granda Policlinico, Mangiagalli, Regina Elena, Milan, Italy; and ¶University of Milan, Milan, Italy. |
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