Largest single-institution series of robotic pneumonectomy
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By
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Ammar Asban
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Nikolaos Pachos
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Caroline A. Snyder
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Isabella Ferraro
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Stephanie Chang
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Costas Bizekis
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Robert J. Cerfolio
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Michael D. Zervos
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June 24, 2026
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Objective:
To describe the experience with the largest single-institution consecutive series of robotic pneumonectomy.
Approach:
- Patient Demographics: 21 patients (67% male) with a median age of 70 years (range 15–79).
Key Findings:
- No intraoperative transfusions were required.
- Median chest tube duration was one day.
- Median length of stay was five days.
- 30-day readmission rate was 19%.
- 30-day morbidity was 19%, including atrial fibrillation in two patients, hemothorax in one patient, and chylothorax in one patient.
- 30-day mortality was 0% and 90-day mortality was 5%.
Interpretation:
Robotic pneumonectomy can be performed safely and effectively in high-risk patients.
Limitations:
- Small sample size of 21 patients.
- Retrospective nature of the study may introduce bias.
Conclusion:
Robotic pneumonectomy shows minimal unplanned conversion-to-thoracotomy and no blood transfusions.
