Robotic surgical approach in lung cancer: integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.20964

Keywords:

Lung cancer; Surgery; Robotic surgery.

Abstract

Lung cancer occurs due to the disordered growth of lung cells with smoking being the most prevalent risk factor. Surgical resection is the standard treatment for all solitary pulmonary nodules, except those with benign conditions. Recently, robotic surgery has been shown to be safe and effective, and an excellent alternative to videothoracoscopy. This article aimed to compare the techniques of robotic surgical resection and videothoracoscopy for lung cancer. An integrative review was conducted, which analyzed scientific articles published between the years 2011 to 2021 on the PubMed platform, using the descriptors: lung cancer, surgery, robotic surgery. Eight publications were found and analyzed, with the year 2016 being the most prevalent with 50% of the publications. Analyzing the study locations 3 articles were conducted in China (37.5%). The results of using robotics showed promising and feasible. Regarding VAST, it showed to be a good technique but with vision limitations. On the other hand, RAST brought a three-dimensional vision, besides the precise control. Robotic surgery allows 3D visibility, precision of movements, increasing angulation and safety, reducing hospitalization time and postoperative complications. Furthermore, there are limitations such as lack of an assistant, high costs, lack of studies, and inexperience of surgeons. However, in the future, it is expected that there will be improvement of the technique so that it will be less dependent due to a greater amount of studies and continue with its benefits.

References

ARAUJO, L. H. et al. (2018). Lung cancer in Brazil. J. bras. pneumol., São Paulo , v. 44, n. 1, p. 55-64.

BADE, B. C. & CRUZ, C. S. D. (2020). Lung cancer 2020: epidemiology, etiology, and prevention. Clinics in chest medicine, v. 41, n. 1, p. 1-24.

CARVALHO, H. A. (2002). Radioterapia no câncer de pulmão. Jornal de Pneumologia, São Paulo, 28(6): :345-50.

EMMERT, A.; STRAUBE, C.; BUENTZEL, J. et al. (2017). Ressecção pulmonar robótica versus toracoscópica - Uma revisão sistemática e meta-análise. Medicine, [S. l.], 96(35): e7633.

FUKUHARA, S.; MONTGOMERY, M. & REYES, A. (2013). Robot-assisted azygos lobectomy for adenocarcinoma arising in an azygos lobe. Interactive Cardiovascular and Thoracic Surgery, [S. l.], 16(5): 715-717.

GUIMARÃES, A. N.; PEREIRA, J. C. & OLIVEIRA, M. I.(2014). Cirurgia Torácica Minimamente Invasiva – Ressecções pulmonares Cirurgia Torácica Vídeo Assistida (CTVA). Revista Pulmão RJ, [s. l.], v. 23, ed. 1, p. 16-19.

HENDRIKS, J. M.H.; YOGESWARAN, S. K.; BERZENJI, L. et al. (2020). Robotic-assisted thoracoscopic lobectomy of the right middle lobe. Multimed Man Cardiothorac Surg, [S. l.], DOI 10.1510 / mmcts.2020.024.

JO, M. S.; KIM, D. Y.; JEONG, J. Y. et al. (2017). Robotic sleeve lobectomy with four arms for lung cancer centrally located in the right lower lobe: a case report. Journal of Cardiothoracic Surgery, [S. l.], 29 nov. 2017. DOI 10.1186 / s13019-017-0675-4.

KHAN, N.; FIKFAK, V.; CHAN, E. Y et al. (2017). "Five on a Dice" Port Placement Allows for Successful Robot-Assisted Left Pneumonectomy. The Thoracic and Cardiovascular Surgeon Reports, [S. l.], ano 2017, v. 6, n. 1, p. 42-44.

KNIGHT, S. et al. (2017). Progresso e perspectivas de detecção precoce do câncer de pulmão. Open biology, [s. l.], 7 set. 2017. DOI 10.1098 / rsob.170070.

MINISTÉRIO DA SAÚDE (Rio de Janeiro). INCA. Estimativa 2020 : incidência de câncer no Brasil. Rio de Janeiro: [s. n.], 2019. 1-120.

MINISTÉRIO DA SAÚDE. INCA. O que é câncer?. In: MINISTÉRIO DA SAÚDE. INCA. O que é câncer?. [S. l.], 2020.

QIU, T.; ZHAO, Y.; XUAN, Y. et al. (2017). Robotic-assisted double-sleeve lobectomy. Journal of Thoracic Disease, [S. l.], jan. 2017. DOI 10.21037 / jtd.2017.01.06.

SAITO, E. H. et al. (2015). Câncer de pulmão: atualização da terapêutica cirúrgica. HUPE, Rio de Janeiro, p. 87-96.

SEGALLA, J. G. M.; ISMAEL, G. F. V.; BEATO, C. A. .M. et al. (2005). Quimioterapia no Câncer de Pulmão não de Pequenas Células. Revista Brasileira de Oncologia Clínica, [S. l.], v. 1, n. 4, p. 9-12.

TERRA, R. M.; ARAUJO, P. H. X. N.; LAURICELLA, L. L. et al. (2016). Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience. Jornal Brasileiro de Pneumologia, São Paulo, v. 42, n. 3, mai./jun. 2016. DOI: 10.1590 / S1806-37562015000000212.

TERRA, R. M.; BIBAS, B. J.; HADDAD, R. et al. (2019). Cirurgia torácica robótica para câncer de pulmão de células não pequenas: experiência inicial no Brasil. Jornal Brasileiro de Pneumologia, São Paulo, v. 46, n. 1, 13. DOI 10.1590/1806-3713/e20190003.

UEHARA, C.; JAMNIK, S. & SANTORO, I. L. (1998). CÂNCER DE PULMÃO. Medicina, Ribeirão Preto, v. 31, p. 266-276, jun. 1998.

WESTPHAL, F. L.; LIMA, L. C.; ANDRADE, E. O. et al. (2009). Características de pacientes com câncer de pulmão na cidade de Manaus. Jornal Brasileiro de Pneumologia, São Paulo, v. 35, n. 2, DOI 10.1590/S1806-37132009000200009.

ZHAO, Y.; CHEN, H.; QIU, T. et al. (2016). Robotic-assisted sleeve lobectomy for right upper lobe combining with middle lobe resection of lung cancer. Journal of Visualized Surgery, [S. l.], ano 2016, v. 2, 8 dez. 2016. DOI 10.21037 / jovs.2016.11.10.

ZHAO, Y.; JIAO, W.; REN, X. et al. (2016). Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system. Journal of Cardiothoracic Surgery, [S. l.], ano 2016, v. 11, 12. DOI 10.1186 / s13019-016-0453-8.

Published

04/10/2021

How to Cite

AMARAL, A. A. P. de O. .; SANTOS, L. de P. .; PARREIRA, S. A. .; DUARTE, V. C. .; ABDALLA, D. R. Robotic surgical approach in lung cancer: integrative literature review. Research, Society and Development, [S. l.], v. 10, n. 13, p. e49101320964, 2021. DOI: 10.33448/rsd-v10i13.20964. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/20964. Acesso em: 16 apr. 2024.

Issue

Section

Health Sciences