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Explore the first cases in Vietnam of robotic-assisted thoracoscopic surgery for pulmonary tumor resection, conducted by Dr. Ho Khanh Duc at Binh Dan Hospital. Discover the evolution of robotic surgery from the 1990s to present, with insights on patient cases and outcomes. Learn about the benefits of using robotics in thoracic surgery, including improved lymph node assessment and safety in procedures.
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LUNG RESECTION BY ROBOTIC-ASSISTED THORACOSCOPIC SURGERY FOR TREATING of PULMONARY TUMOR THE FIRST CASES IN VIETNAM HO KHANH DUC, MD DEPARTMENT OF THORACO-VASCULAR SURGERY BINH DAN HOSPITAL – HOCHIMINH CITY
Robot -Assisted CONSOLE
VATS ROBOT
VATS ROBOT
ROBOT VATS
2009 : 66% thoracotomy- 33% VATS, only 1% by robot 2013 : 11% robot 2011 - 2015, Centers performing robotic-assisted lobectomy : 90% with 400 robotic surgeons Paul & Cs: Chest.2015 Dec
ROBOT – BìnhDân hospitaloctober2016 da Vinci Si
RATS – lung resection 6/2017 SINGAPORE
trocar position Dr Cerfolio
Case 1 male – 56 Yo Smoking Cough CT Scan : solitary nodule of upper lobe 2cm Right upper lobectomy by Robotic -assisted mediastinal lymph node dissection Time : 150 mn Blood loss < 50ml anapath : tuberculosis
Case 2 male – 56 Yo Smoking Cough – weigh loss CT Scan : nodule of upper lobe 4cm Bronchoscopic: normal Right upper lobectomy (+ partial middle) by Robotic -assisted : mediastinal lymph node resection Time : 150 mn Blood loss < 50ml GPB : Squamous cell carcinoma , no lymph node metastase
Trường hợp 3 male – 76 Yo no Smoking Prostactectomy by Robot : 8 months ago CT Scan : solitary nodule of left lower lobe 2cm – lung metastasis ? Bronchoscopic: normal Wedge resection by Robotic – assisted : Time : 90 mn Blood loss < 50ml anapath : Harmatoma.
Post operative - extubation :1 h - Chest tube : 2 days - discharged at the 4 post-operative day
CONCLUSION • hilar dissection : easier and safer • greater lymph node assessment Pr Cerfolio Robert – New York