Background: A lobectomy is a surgical procedure where an entire lobe of the lung is removed, wherein the
pulmonary vein, pulmonary artery and bronchus to the involved lobe are individually dissected, ligated and divided.
The first robotic lobectomy worldwide was performed in 2003. Since 2014, Vietnam National Children’s Hospital
(VNCH) has successfully applied robotic surgery in children, particularly robotic lobectomy. We report a preliminary
result of robotic lobectomy in children at VNCH from May 2016 to May 2020.
Methods: A retrospective cross-sectional study of all patients undergone robotic lobectomy at VNCH from May
2016 to May 2020.
Results: A total of 30 patients were included, male to female ratio 1:1, median age was 72 months (range 15- 180 months), median weight was 19.5kg (range 8– 65kg). The most commonly seen procedure was right lower lobe lobectomy, accounted for 46.6%, right middle lobe and left upper lobe lobectomy were least common (3.3%). The mean operative time was 192.7±65.9 minutes. 2 cases required change of surgical procedure. 60% of cases received blood transfusion during operation, mean blood volume was 250±160ml. 73.3% extubated right away. There was no post-operative complication. The mean post-operative treatment time was 8±5.9 days. Biopsy results showed 83.3% was congenital lesion, 16.7% was non-specific inflammation.
Conclusion: Robotic lobectomy in children is an effective, feasible and safe method with promising preliminary
What will audience learn from your presentation?
• Laparoscopic lobectomy has been widely used by pediatric surgeons at centers
• In Vietnam, in 2014, the National Children's Hospital successfully applied robot laparoscopic surgery on children in general and robot laparoscopic surgery in particular for the first time. Although laparoscopic robotic lobectomy in children has made many advances, the effectiveness, safety and feasibility of this method are still questionable Therefore, we conduct the study to describe the indications for robotic lobectomy in children and evaluate the results after laparoscopic robotic lobectomy in children at the National Children's Hospital