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HO KHANH DUC, MD DEPARTMENT OF THORACO-VASCULAR SURGERY BINH DAN HOSPITAL – HOCHIMINH CITY

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. Robotic surgery ?. Robot -Assisted. CONSOLE. VATS. ROBOT. VATS. ROBOT.

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HO KHANH DUC, MD DEPARTMENT OF THORACO-VASCULAR SURGERY BINH DAN HOSPITAL – HOCHIMINH CITY

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  1. 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

  2. Robotic surgery ?

  3. Robot -Assisted CONSOLE

  4. VATS ROBOT

  5. VATS ROBOT

  6. ROBOT VATS

  7. Robotic-Assisted Thoracic Surgery

  8. LUNG RESECTION

  9. Thoracotomy

  10. Video-assisted thoracoscopic surgery 1990s

  11. Robotic-Assisted Thoracic Surgery 2002

  12. 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

  13. ROBOT – BìnhDân hospitaloctober2016 da Vinci Si

  14. GI -UROLOGY

  15. RATS – lung resection 6/2017 SINGAPORE

  16. 7/2017 : Training at KOREA

  17. trocar position Dr Cerfolio

  18. 4 arms ROBOT

  19. robotic position

  20. 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

  21. 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

  22. 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.

  23. Post operative - extubation :1 h - Chest tube : 2 days - discharged at the 4 post-operative day

  24. CONCLUSION • hilar dissection : easier and safer • greater lymph node assessment Pr Cerfolio Robert – New York

  25. Thank you

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