Abstract
OBJECTIVE. The research evaluated the data of robotic thoracoscopic interventions. MATERIALS AND METHODS. The article presents the results of robotic surgery in 30 patients aged 41 to 78 years with lung tumors of various localization and tumors of anterior mediastinum. The non-typical resection of the upper lobe was performed on 17 patients and extended lobectomy was conducted in 10 cases. The removal of anterior mediastinal tumor was made in 3 patients. RESULTS. There werenβt noted any complications in early postoperative period. The length of non-typical resection consisted of 40-50 min, but in case of removal of lung lobe with lymphodissection the duration of surgery was 3-3,5 hours. The removal of tumor from the anterior mediastinum took from 80 min to 1,5 hours. The diagnosis was made according to postmortem examination in all cases. All the patients were discharged from hospital in order to continue treatment. CONCLUSIONS. The results obtained showed the safety and efficacy of robotic interventions.
Highlights
The research evaluated the data of robotic thoracoscopic interventions
The article presents the results of robotic surgery in 30 patients aged 41 to 78 years with lung tumors of various localization and tumors of anterior mediastinum
The length of non-typical resection consisted of 40β50 min, but in case of removal of lung lobe with lymphodissection the duration of surgery was 3β3,5 hours
Summary
Π ΠΠΠΠ’ΠΠ§ΠΠ‘ΠΠΠ ΠΠΠΠ¨ΠΠ’ΠΠΠ¬Π‘Π’ΠΠ ΠΠ Π ΠΠΠ£Π₯ΠΠΠ―Π₯ Π’ΠΠ ΠΠΠΠΠ¬ΠΠΠ ΠΠΠΠΠΠΠΠΠ¦ΠΠ (ΠΠΠ«Π’ ΠΠΠ ΠΠ«Π₯ 30 ΠΠΠΠ ΠΠ¦ΠΠ). ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΎΠ±ΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² Ρ 30 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΎΠΏΡΡ ΠΎΠ»ΡΠΌΠΈ Π»Π΅Π³ΠΊΠΈΡ ΡΠ°Π·Π»ΠΈΡΠ½ΠΎΠΉ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΠΈ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅Π³ΠΎ ΡΡΠ΅Π΄ΠΎΡΡΠ΅Π½ΠΈΡ Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ ΠΎΡ 41 Π΄ΠΎ 78 Π»Π΅Ρ. ΠΡΠΏΠΎΠ»Π½Π΅Π½Ρ Π°ΡΠΈΠΏΠΈΡΠ½Π°Ρ ΡΠ΅Π·Π΅ΠΊΡΠΈΡ Π²Π΅ΡΡ Π½Π΅ΠΉ Π΄ΠΎΠ»ΠΈ Ρ 17 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΡΠ°ΡΡΠΈΡΠ΅Π½Π½Π°Ρ Π»ΠΎΠ±ΡΠΊΡΠΎΠΌΠΈΡ β Ρ 10, ΡΠ΄Π°Π»Π΅Π½ΠΈΠ΅ ΠΎΠΏΡΡ ΠΎΠ»ΠΈ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅Π³ΠΎ ΡΡΠ΅Π΄ΠΎΡΡΠ΅Π½ΠΈΡ β Ρ 3. ΠΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° ΠΈ Π² ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π΅ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ. ΠΠ»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΏΡΠΈ Π°ΡΠΈΠΏΠΈΡΠ½ΠΎΠΉ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° 40β50 ΠΌΠΈΠ½, ΠΏΡΠΈ ΡΠ΄Π°Π»Π΅Π½ΠΈΠΈ Π΄ΠΎΠ»ΠΈ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ Ρ Π»ΠΈΠΌΡΠΎΠ΄ΠΈΡΡΠ΅ΠΊΡΠΈΠ΅ΠΉ β 3β3,5 Ρ, ΠΏΡΠΈ ΡΠ΄Π°Π»Π΅Π½ΠΈΠΈ ΠΎΠΏΡΡ ΠΎΠ»ΠΈ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅Π³ΠΎ ΡΡΠ΅Π΄ΠΎΡΡΠ΅Π½ΠΈΡ β ΠΎΡ 1 Ρ 20 ΠΌΠΈΠ½ Π΄ΠΎ 1,5 Ρ. ΠΠΎ Π²ΡΠ΅Ρ ΡΠ»ΡΡΠ°ΡΡ ΡΠ΄Π°Π»ΠΎΡΡ ΠΏΠΎΡΡΠ°Π²ΠΈΡΡ Π΄ΠΈΠ°Π³Π½ΠΎΠ· ΠΏΡΠΈ ΠΏΠ°ΡΠΎΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΏΠΎΠΊΠ°Π·ΡΠ²Π°ΡΡ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ ΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΠ±ΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ². ΠΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΠ»ΠΎΠ²Π°: ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠΎΡΠ°ΠΊΠ°Π»ΡΠ½Π°Ρ Ρ ΠΈΡΡΡΠ³ΠΈΡ, ΡΠΎΠ±ΠΎΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°, ΠΎΠΏΡΡ ΠΎΠ»ΠΈ Π»Π΅Π³ΠΊΠΈΡ , ΠΎΠΏΡΡ ΠΎΠ»ΠΈ ΡΡΠ΅Π΄ΠΎΡΡΠ΅Π½ΠΈΡ, ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ.
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