{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:28Z","timestamp":1753887568395,"version":"3.41.2"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: relatar nossa experi\u00eancia inicial com a segmentectomia rob\u00f3tica, descrevendo a t\u00e9cnica operat\u00f3ria, a coloca\u00e7\u00e3o preferencial dos portais, os resultados iniciais e desfechos.  M\u00e9todos: dados cl\u00ednicos de pacientes submetidos \u00e0 segmentectomia rob\u00f3tica, entre janeiro de 2017 e dezembro de 2018, foram obtidos de um banco de dados prospectivo de cirurgia rob\u00f3tica. Todos os pacientes tinham c\u00e2ncer de pulm\u00e3o, prim\u00e1rio ou secund\u00e1rio, ou doen\u00e7as benignas, e foram operados usando o sistema Da Vinci com a t\u00e9cnica de tr\u00eas portais mais uma incis\u00e3o utilit\u00e1ria de 3cm. As estruturas hilares foram dissecadas individualmente e as ligaduras dos ramos arteriais e venosos, dos br\u00f4nquios segmentares, assim como, a transec\u00e7\u00e3o do par\u00eanquima, realizadas com grampeadores endosc\u00f3picos. Dissec\u00e7\u00e3o sistem\u00e1tica dos linfonodos mediastinais foi realizada para os casos de c\u00e2ncer de pulm\u00e3o n\u00e3o de pequenas c\u00e9lulas (CPNPC).  Resultados: quarenta e nove pacientes, dos quais 33 mulheres, foram submetidos \u00e0 segmentectomia rob\u00f3tica. A m\u00e9dia de idade foi de 68 anos. A maioria dos pacientes tinha CPNPC (n=34), seguido de doen\u00e7a metast\u00e1tica (n=11) e doen\u00e7as benignas (n=4). N\u00e3o houve convers\u00e3o para cirurgia aberta ou v\u00eddeo, ou convers\u00e3o para lobectomia. A mediana do tempo operat\u00f3rio total foi de 160 minutos e do tempo de console foi de 117 minutos. Complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias ocorreram em nove pacientes (18,3%), dos quais sete (14,2%) tiveram interna\u00e7\u00e3o prolongada (&gt;7 dias) devido \u00e0 f\u00edstula a\u00e9rea persistente (n=4; 8,1%) ou complica\u00e7\u00f5es abdominais (n=2; 4%).  Conclus\u00e3o: a segmentectomia rob\u00f3tica \u00e9 um procedimento seguro e vi\u00e1vel, oferecendo curto per\u00edodo de interna\u00e7\u00e3o e baixa morbidade.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192210","type":"journal-article","created":{"date-parts":[[2019,9,29]],"date-time":"2019-09-29T04:07:04Z","timestamp":1569730024000},"source":"Crossref","is-referenced-by-count":2,"title":["Segmentectomia pulmonar anat\u00f4mica rob\u00f3tica: aspectos t\u00e9cnicos e desfechos"],"prefix":"10.1590","volume":"46","author":[{"given":"Ricardo Mingarini","family":"Terra","sequence":"first","affiliation":[{"name":"Hospital S\u00edrio Liban\u00eas,  Brasil; Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8378-7704","authenticated-orcid":false,"given":"Leticia Leone","family":"Lauricella","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio Liban\u00eas,  Brasil; Universidade de S\u00e3o Paulo,  Brasil; Hospital S\u00e3o Luiz Itaim - Rede D'Or,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Haddad","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Hospital Copa Star,  Brasil; Hospital Quinta D'Or - Rede D'Or,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Ribas Milanes","family":"de-Campos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Henrique Xavier","family":"Nabuco-de-Araujo","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio Liban\u00eas,  Brasil; Universidade de S\u00e3o Paulo,  Brasil; Hospital S\u00e3o Luiz Itaim - Rede D'Or,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Eduardo Teixeira","family":"Lima","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Hospital Copa Star,  Brasil; Hospital Quinta D'Or - Rede D'Or,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Carvalho Braga dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Hospital Copa Star,  Brasil; Hospital Quinta D'Or - Rede D'Or,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Manuel","family":"Pego-Fernandes","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio Liban\u00eas,  Brasil; Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1097\/JTO.0b013e3181e77604","article-title":"Sublobar resection: a movement from the Lung Cancer Study Group","volume":"5","author":"Blasberg JD","year":"2010","journal-title":"J Thorac Oncol"},{"issue":"2","key":"ref2","first-page":"176","article-title":"Role of segmentectomy for pulmonary metastases","volume":"3","author":"Berry MF","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"issue":"3","key":"ref3","first-page":"504","article-title":"Outcomes of segmentectomy and wedge resection for pulmonary metastases from colorectal cancer","volume":"51","author":"Shiono S","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.athoracsur.2004.01.024","article-title":"Segmental resection spares pulmonary function in patients with stage I lung cancer","volume":"78","author":"Keenan RJ","year":"2004","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"ref5","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.jtcvs.2009.08.028","article-title":"Anatomic segmentectomy for stage I non-small-cell lung cancer: comparison of video-assisted thoracic surgery versus open approach","volume":"138","author":"Schuchert MJ","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"ref6","first-page":"S200","article-title":"Totally thoracoscopic pulmonary anatomic segmentectomies: technical considerations","volume":"5","author":"Gossot D","year":"2013","journal-title":"J Thorac Dis"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/imi.0b013e31815e52f1","article-title":"Robotic-assisted lung resection for malignant disease","volume":"2","author":"Anderson CA","year":"2007","journal-title":"Innovations (Phila)"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1016\/j.athoracsur.2015.08.092","article-title":"One hundred planned robotic segmentectomies: early results, technical details, and preferred port placement","volume":"101","author":"Cerfolio RJ","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"2188","DOI":"10.1016\/j.athoracsur.2012.12.068","article-title":"New technique for lung segmentectomy using indocyanine green injection","volume":"95","author":"Oh S","year":"2013","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/j.jtcvs.2010.07.020","article-title":"New clinically applicable method for visualizing adjacent lung segments using an infrared thoracoscopy system","volume":"140","author":"Misaki N","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1093\/ejcts\/ezt565","article-title":"Clinical trial of video-assisted thoracoscopic segmentectomy using infrared thoracoscopy with indocyanine green","volume":"46","author":"Tarumi S","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"issue":"6406","key":"ref12","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/S0140-6736(46)91634-0","article-title":"Segmental resection of lung for bronchiectasis","volume":"1","author":"Pilcher R","year":"1946","journal-title":"Lancet"},{"issue":"3","key":"ref13","first-page":"257","article-title":"A new technique for pulmonary segmental resection; its application in the treatment of bronchiectasis","volume":"84","author":"Overholt RH","year":"1947","journal-title":"Surg Gynecol Obstet"},{"issue":"3","key":"ref14","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/0003-4975(95)00537-U","article-title":"Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung c\u00e2ncer. Lung Cancer Study Group","volume":"60","author":"Ginsberg RJ","year":"1995","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.jtcvs.2006.02.063","article-title":"Radical sublobar resection for small-sized non-small cell lung c\u00e2ncer: a multicenter study","volume":"132","author":"Okada M","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"ref16","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S0022-5223(97)70179-X","article-title":"Intentional limited resection for selected patients with T1 N0 M0 non-small-cell lung cancer a single-institution study","volume":"114","author":"Kodama K","year":"1997","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1093\/jjco\/hyp156","article-title":"A phase III randomized trial of lobectomy versus limited resection for small-sized peripheral non-small cell lung cancer (JCOG0802\/WJOG4607L)","volume":"40","author":"Nakamura K","year":"2010","journal-title":"Jpn J Clin Oncol"},{"issue":"2","key":"ref18","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.athoracsur.2014.04.085","article-title":"The utility of electromagnetic navigational bronchoscopy as a localization tool for robotic resection of small pulmonary nodules","volume":"98","author":"Bolton WD","year":"2014","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1590\/S1806-37562015000000212","article-title":"Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience","volume":"42","author":"Terra RM","year":"2016","journal-title":"J Bras Pneumol"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.ejcts.2010.01.047","article-title":"Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy","volume":"38","author":"Ninan M","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"issue":"4","key":"ref21","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.jtcvs.2011.07.022","article-title":"Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms","volume":"142","author":"Cerfolio RJ","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"ref22","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1053\/j.semtcvs.2011.01.005","article-title":"Pulmonary resection using a total endoscopic robotic video-assisted approach","volume":"23","author":"Dylewski MR","year":"2011","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"3","key":"ref23","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.athoracsur.2012.04.086","article-title":"Robotic anatomic segmentectomy of the lung: technical aspects and initial results","volume":"94","author":"Pardolesi A","year":"2012","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"ref24","first-page":"142","article-title":"Open, thoracoscopic and robotic segmentectomy for lung cancer","volume":"3","author":"Yang CF","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1093\/icvts\/ivu399","article-title":"Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions","volume":"20","author":"Demir A","year":"2015","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"5","key":"ref26","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.21037\/jtd.2017.04.31","article-title":"Prolonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery","volume":"9","author":"Zhao K","year":"2017","journal-title":"J Thorac Dis"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v46n4\/0100-6991-rcbc-46-04-e20192210.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,8]],"date-time":"2020-02-08T02:27:15Z","timestamp":1581128835000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912019000400156&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":26,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0100-69912019000400156"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20192210","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"type":"electronic","value":"1809-4546"},{"type":"print","value":"0100-6991"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e20192210"}}