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Durand. Mini-invasive Surg 2019;3:35 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.31

Original Article Open Access

Robotic bronchial sleeve resections: technical
details and early results

Marion Durand

Thoracic Unit, Ramsay Générale de Santé, Hôpital Privé d’Antony, Antony 92160, France.

Correspondence to: Dr. Marion Durand, Thoracic Unit, Hôpital Privé d’Antony, 1 rue Velpeau, Antony 92160, France.
E-mail: durandm@me.com

How to cite this article: Durand M. Robotic bronchial sleeve resections: technical details and early result. Mini-invasive Surg
2019;3:35. http://dx.doi.org/10.20517/2574-1225.2019.31

Received: 30 Aug 2019 First Decision: 18 Nov 2019 Revised: 18 Nov 2019 Accepted: 20 Nov 2019 Published: 29 Nov 2019

Science Editor: Valérie Lacroix Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang

Abstract
Aim: We report our four-arm robotic bronchial sleeve anatomical lung resection technique and its early results.

Methods: We retrospectively collected all the four-arm robotic sleeve anatomical lung resections we performed in our
institution from February 2014 to August 2019. We reported the results as a series of cases.

Results: During that period, 582 robotic procedures were performed by a single surgeon, of which 486 were major
anatomical lung resections. From this group, 10 patients (2%) underwent bronchial sleeve resections. All patients were
treated on the right lung. Neither conversion nor major events occurred during surgery. The first bronchial sleeve was
performed for Patient 219. The mean length of procedure was 164 (± 43) min. One patient died during hospitalization
due to a non-related complication (gastric massive bleeding). Three patients had no complications. Six had minor
complications (Clavien Dindo Grade 2) resulting in prolonged length of stay. The mean length of stay was 10 (± 5.7) days.
No bronchial fistula occurred. All resection margins were R0.

Conclusion: Four-arm robotic bronchial sleeve is a feasible and safe procedure. Telemanipulation surgery offers excellent
technical conditions to ensure a hand-sewed anastomosis and R0 resection. The technical principle and dissection are
the same as those of open surgery. Patient selection and mastering of the telemanipulation device are mandatory to
perform these complex and rare procedures.

Keywords: Lung carcinoma, robotic, surgery, sleeve lobectomy, sleeve segmentectomy

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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