CC-BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2017; 06(01): e42-e44
DOI: 10.1055/s-0037-1613714
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

“Five on a Dice” Port Placement Allows for Successful Robot-Assisted Left Pneumonectomy

Najah Khan1, Vid Fikfak1, Edward Y. Chan1, Min P. Kim1
  • 1Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, Texas, United States
Further Information

Publication History

03 September 2017

14 November 2017

Publication Date:
31 December 2017 (online)


Background Technology has evolved to facilitate pulmonary resection. The latest technological advances in computer-aided surgery (Da Vinci Xi) allow for more control during pulmonary resection.

Case Description A 59-year-old woman presented with two primary tumors of the left upper and lower lung. After induction chemotherapy, patient had a “five on a dice” port placement and technique was used to perform successful robot-assisted pneumonectomy. The patient was discharged home on postoperative day 3 without any complications.

Conclusions We have found that the “five on a dice” port placement allows for optimal control of the robot stapler and facilitates successful robot-assisted left pneumonectomy.