[Lung Resection by Using da Vinci SP].

In this paper, we would like to discuss the usefulness and safety of lung resection by using the da Vinci SP. Thirty-seven patients who underwent surgery for lung cancer from February to December 2024 at our hospital were included. The mean age was 70 (28~87) years, 21 were male and 16 were female, with a median operative time of 213 (135~417) minutes and a median console time of 149 (96~254) minutes. The resected lungs were the right upper lobe in 11 cases, the right middle lobe in 3 cases, the right lower lobe in 9 cases, the left upper lobe in 5 cases and the left lower lobe in 10 cases. The conversion to thoracotomy was performed in 2 cases. Postoperative complications included atrial fibrillation, decreased intestinal peristalsis due to vagal neuropathy, and pneumonia, but no complications above Clavien-Dindo classification grade Ⅲ were observed. Although there are very small number of reports, those have shown that thoracic surgery using the da Vinci SP has been performed safely. Lung cancer surgery with the da Vinci SP is still in its infancy, and further expansion of the device and cost reductions are desirable.