Robotic-Assisted Muscle-Sparing Chest Wall Resection Without Thoracotomy: Tips and Benefits for Lung Cancer Patients With Chest Wall Invasion

Koji Kawaguchi MD , Shinji Kaneda MD , Daisuke Ito MD , Akira Shimamoto MD , Motoshi Takao MD
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Abstract

This report describes our technical methods of robotic-assisted chest wall resection concomitant with lobectomy, which did not require the division of major extrathoracic muscles and spreading of the ribs. In both cases, the patients were able to raise their arms on the affected side immediately after surgery, without any shoulder dysfunction. This robotic-assisted muscle-sparing chest wall resection without thoracotomy technique enables preservation of the extrathoracic muscles and allows patients to maintain their quality of life, thus making it possible for patients to promptly receive adjuvant therapy.
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本报告介绍了我们在进行肺叶切除术的同时进行机器人辅助胸壁切除术的技术方法,这种方法不需要分割主要的胸外肌和展平肋骨。在这两个病例中,患者在术后都能立即抬起患侧手臂,没有任何肩部功能障碍。这种无需开胸的机器人辅助保全胸壁肌肉切除技术能够保留胸廓外肌肉,使患者能够保持生活质量,从而使患者能够及时接受辅助治疗。
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