This video shows a right upper microlobectomy. Microlobectomy differs from VATS lobectomy in the following ways:
- No incisions in the intercostal spaces larger than 5 mm
- A 12 mm subxiphoid port
- Subxiphoid removal of the resected specimen, above the diaphragm
- CO2 insufflation
- Vision through a 5 mm camera
- Stapling of vascular structures using the Cardica 5 mm MicroCutter
The author believes that not having a utility port through the intercostal spaces seems to significantly reduce a patient’s pain. The subxiphoid incision is less painful, as there are no intercostal nerves there to be damaged.
Disclosure: Mr. Dunning has received payment for giving a talk on microlobectomy to Cardica employees.
Excellent new take on minimizing pain from extraction of the specimen and working through a novel port. Very interesting smaller stapler and new stapler technology. Looking forward to seeing more about this at Tech Con…