Technique of robotic lobectomy III: control of major vascular injury, the 5 “P”’s

Abstract

Robotic Lobectomy has been evolving over the past decade and has been shown to be an oncologically efficacious procedure. Although robotic lobectomy is performed more frequently in centers around the world, it accounts for a small percentage of all lobectomies. One of the major causes of reluctance to adopt robotic lobectomy and segmentectomy procedures by surgeons is the fear of bleeding complications, as well as the lack of a standardized reproducible approach to these potentially catastrophic events. This paper outlines a proven strategy for control of bleeding complications during robotic lobectomy and segmentectomy procedures: the 5 “P”’s of Prevention, Preparedness, Poise, Pressure, and Proximal Control.

Keywords

Robotic / lobectomy / bleeding / upper lobectomy / middle lobectomy / lower lobectomy / lobectomy / conversion / lung cancer / 5 “P”’s

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