Abstract

MIER, José Manuel; CORTES, Julián Gildardo; NAVARRETE, Mario  and  GOMEZ-NIETO, Gerardo. Initial experience of a robotic thoracic surgery program in lung cancer in Mexico. Report of two cases. Acta méd. Grupo Ángeles [online]. 2018, vol.16, n.3, pp.252-254. ISSN 1870-7203.

Open lobectomy presents a significant morbidity; on the contrary, video-assisted surgery presents less blood loss, lower morbidity and shorter hospital stay, among other advantages. In expert hands it presents good results; however, it requires a long learning curve, which is limiting in some centers. These limitations can be solved with the Da Vinci robotic system. In this study, we present our initial experience with two lobectomies for stage I lung cancer, performed with the Da Vinci surgical system. For our knowledge, this is the first report in Mexico. They are two patients of 63 and 62 years old, male and female respectively, with an adenocarcinoma lung in the upper left lobe in stage Ia. Both patients underwent superior left lobectomy plus mediastinal lymphadenectomy. The results of a blood loss less than 100 mL in each case, retention of chest drainage two and three days and intrahospital stay of three and four days respectively, without complications to be highlighted. We can conclude that the robotic approach to pulmonary lobectomy for cancer is possible and safe, performing the oncologically correct procedure as if it were performed by classical video-assisted surgery.

Keywords : Robotic surgery; robot assisted surgery; video assisted surgery.

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