Single-port robotic-assisted thoracic surgery (SP-RATS) lobectomy using the da Vinci Xi system has been performed by several pioneers. However, due to the severe collisions and the steep learning curve, this approach is not yet widely used. This study aimed to evaluate the feasibility of SP-RATS lobectomy for large-sized non-small cell lung cancer (NSCLC). As we believe that for large-sized tumors it is reasonable to make a slightly larger incision, we performed SP-RATS lobectomy for large-sized NSCLC (greater than 5 cm) through a single incision (6–8 cm). Eleven patients underwent SP-RATS lobectomy using the da Vinci Xi system at our institution from April 2022 to May 2024. The median tumor size on computed tomography and on pathology was 6.6 cm [interquartile range (IQR), 6.1–7.5 cm] and 6 cm [IQR, 5.1–7.1], respectively. The median total operative time was 198 min [IQR, 159–260 min], and the median postoperative length of stay was 4 days [IQR, 4–10 days], with no major postoperative complications (≥grade III on the Clavien–Dindo classification). Our approach may combine the benefits of single-port surgery with those of robotic surgery and is safe, feasible, and may promote better outcomes in patients with large-sized NSCLC.
多位先驱者已采用达芬奇Xi系统开展单孔机器人辅助胸腔镜手术（SP-RATS）肺叶切除术。然而，由于存在严重的器械碰撞问题及陡峭的学习曲线，该术式尚未得到广泛应用。本研究旨在评估SP-RATS肺叶切除术治疗大体积非小细胞肺癌（NSCLC）的可行性。考虑到大体积肿瘤需要稍大切口的合理性，我们通过单一切口（6-8厘米）对大体积NSCLC（直径大于5厘米）实施了SP-RATS肺叶切除术。2022年4月至2024年5月期间，我院共有11例患者使用达芬奇Xi系统接受了SP-RATS肺叶切除术。计算机断层扫描与病理学检查显示肿瘤中位尺寸分别为6.6厘米[四分位距（IQR）6.1-7.5厘米]和6厘米[IQR 5.1-7.1厘米]。中位总手术时间为198分钟[IQR 159-260分钟]，中位术后住院时间为4天[IQR 4-10天]，且未发生重大术后并发症（Clavien-Dindo分级≥III级）。本术式融合了单孔手术与机器人手术的双重优势，对于大体积NSCLC患者具有安全性、可行性，并可能促进更佳的治疗效果。
肿瘤(癌症)患者之家