胸腔镜下支气管吻合术是支气管袖式切除的关键难题。达芬奇手术系统的应用简化了微创下支气管吻合术的复杂性。基于之前在机器人胸外科的经验，笔者团队逐渐发展出一种新的支气管吻合方法，即 1/2 弧形标记和双螺旋缝合快速支气管吻合。本文在此报道 1 例右上袖式肺叶切除术。

Thoracoscopic bronchial anastomosis is the key challenge in bronchial sleeve resection and reconstruction.The application of Da Vinci surgical system has simplified the endoscopic bronchial anastomosis. Based on previous experience of robotic thoracic surgeries, we gradually developed a new approach for bronchial anastomosis, which is called rapid bronchial anastomosis with 1/2 arc marking and double helix suturing. A case of right upper sleeve lobectomy performed with this new approach was presented in this paper.

收稿日期：2021-01-09  录用日期：2021-03-26

Received Date: 2021-01-09  Accepted Date: 2021-03-26

基金项目：国家自然科学基金（81672291，31071210）

Foundation Item: National Natural Science Foundation of China (81672291, 31071210)

通讯作者：林一丹，Email：linyidan.academy@foxmail.com

Corresponding Author: LIN Yidan, Email: linyidan.academy@foxmail.com

引用格式：徐智杰，李刚，林一丹 . 机器人辅助下 1/2圆弧定位行双螺旋快速支气管吻合术一例报道 [J]. 机器人外科学杂志（中英文），2021，2（4）：330-333.

Citation: XU Z J, LI G, LIN Y D. Rapid bronchial anastomosis with 1/2 arc marking and double helix suturing: a case report [J].Chinese Journal of Robotic Surgery, 2021, 2 (4):330-333.

[1]Waseda R, Iwasaki A. Extended sleeve lobectomy: its place in surgical therapy for centrally located non-small cell lung cancer and a review of technical aspects[J]. Journal of Thoracic Disease, 2018, 10(Suppl 26): S3103-S3108.

[2] YANG D, ZHOU Y, WANG W. Total thoracoscopic high-position sleeve lobectomy of the right upper lobe of the lung[J]. Journal of Thoracic Disease, 2018, 10(7): 4490-4497.

[3] ZHANG Z, HUANG Q, LIAO Y, et al. Application of the “continuous suture dividing and equal suture tightening” method in video-assisted thoracoscopic surgery sleeve lobectomy[J]. Journal of Thoracic Disease, 2018, 10(9): 5199-5207.

[4] Elliott I A, Yanagawa J. Can the robot overcome technical challenges of thoracoscopic bronchial anastomosis? [J]. Journal of Thoracic Disease, 2019, 11(Suppl 9): S1123-S1125.

[5] Reddy R M, Gorrepati M L, Oh D S, et al. Roboticassisted Versus thoracoscopic lobectomy outcomes from high-volume thoracic surgeons[J]. The Annals of Thoracic Surgery, 2018, 106(3): 902-908.

[6] Emanuel P, Holger H, Bernward P. Bronchus anastomosis after sleeve resection for lung cancer: does the suture technique have an impact on postoperative complication rate? [J]. Interact Cardiovasc Thorac Surg, 2015, 20(6): 798-804.

[7] Shanahan B, O’Sullivan K E, Redmond K C. Robotic sleeve lobectomy-recent advances [J]. Journal of Thoracic Disease, 2019, 11(4): 1074-1075.

[8] QIU T, ZHAO Y, XUAN Y, et al. Robotic sleeve lobectomy for centrally located non-small cell lung cancer: a propensity score-weighted comparison with thoracoscopic and open surgery[J]. The Journal of Thoracic and Cardiovascular Surgery, 2020, 160(3): 838-846.e832.

[9] Ceylan K C, Acar A, Örs Kaya Ş. The initial experience on thoracoscopic sleeve lobectomy: continuous suturing technique of the bronchial anastomosis in 12 cases[J]. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2020, 30(5): 476-479.

[10] Gonzalez-Rivas D, Garcia A, Chen C, et al.Technical aspects of uniportal video-assisted thoracoscopic double sleeve bronchovascular resections[J]. European Journal of Cardio-thoracic Surgery, 2020, 58(Suppl_1): i14-i22.