Robotic double-sleeve resection of lung cancer: technical aspects.

For centrally located lung cancer invading the bronchial orifice and pulmonary artery, double-sleeve resection is an alternative to pneumonectomy. We have performed robotic double-sleeve resection in 4 patients and describe herein the technical aspects. No patient was converted to thoracotomy and no postoperative complication occurred. All the patients were alive during follow-up. Robotic double-sleeve resection is feasible in selected cases.