Robotic-assisted Muscle-sparing Chest Wall Resection Without Thoracotomy: Tips and Benefits for Lung Cancer Patients With Chest Wall Invasion

This report describes our technical methods of robotic-assisted chest wall resection concomitant with lobectomy, which did not require the division of major extrathoracic muscles and spreading of the ribs. In both cases, the patients were able to raise their arms on the affected side immediately after surgery, without any shoulder dysfunction. This robotic-assisted muscle-sparing chest wall resection without thoracotomy technique enables preservation of the extrathoracic muscles and allows patients to maintain their quality of life, thus making it possible for patients to promptly receive adjuvant therapy.