ArticleInterdisciplinary cardiovascular and thoracic surgery2024
Usefulness of final transection of the proximal pulmonary artery in robotic left upper lobectomy.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 0 citations in OpenAlex.
- Strategic temporary bronchial division for safe central pulmonary artery control during complex left upper lobectomy.JTCVS techniques · 2026Article
- Perioperative outcomes of extended robotic-assisted thoracic surgery with combined resection of adjacent structures.JTCVS open · 2026Article
- Sensorized Vascular High-Fidelity Physical Simulator for Robot-Assisted Surgery Training: A Multisite Pilot Evaluation.Journal of clinical medicine · 2026Article
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Authors and funding
7 authors at 1 institution in 1 country.
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Abstract
objectivesThe pulmonary artery runs around the left upper bronchus, which poses the risk of blood vessel injury when cutting in the blind spot of the bronchus. During robotic surgery, the robotic arm holds the tissue under constant tension; therefore, even if the pulmonary artery is left for final transection, it is not injured by unexpected tension. In this study, we examined the usefulness of final transection of the proximal pulmonary artery in robotic left upper lobectomy.
methodsThis retrospective single-institution study evaluated patients who had undergone robotic lung resection. Of the 453 robotic lung resections performed at our institution between 2017 and 2022, 49 patients who had undergone left upper lobectomy were evaluated. Patients who had undergone bronchial transection followed by pulmonary artery transection were assigned to the group, bronchus prior transection (BT group, n = 38), and those who had undergone pulmonary artery transection followed by bronchial transection were assigned to the group, pulmonary artery prior transection (AT group, n = 11). Patient characteristics and perioperative outcomes were compared between the groups.
resultsThe groups did not differ significantly in age, sex, smoking history, tumour size, complication rates or 30-day mortality. The BT group inclined to shorter operative times and lesser blood loss. No active intraoperative bleeding occurred in the BT group. However, the AT group had 2 cases of intraoperative pulmonary artery bleeding, one of which required urgent conversion to thoracotomy.
conclusionsFinal transection of the proximal pulmonary artery is a novel and effective surgical technique for robotic left upper lobectomy.
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