Consensus statement on definitions and nomenclature for robotic thoracic surgery

Abstract

The American Association of Thoracic Surgeons writing committee proposes a definition and nomenclature for robotic thoracic surgery. Definitions are needed to ensure that future studies accurately compare results and outcomes and nomenclatures allow surgeons and scientists from diverse countries and cultures to use the same language to allow accurate communication.

Four-arm robotic lung resection versus muscle-sparing mini-thoracotomy: retrospective experience

“…We only proceeded with surgery if the tumour had stabilized or had responded to treatment (unless it was N2 disease requiring pneumonectomy). The American Association of Thoracic Surgeons recently proposed a definition of a robotic thoracic operation as "a minimally invasive surgical procedure that does not spread, lift or remove any part of the chest or abdominal wall and is characterized by: the surgeon and the assistant's vision of the operative field is via a monitor only and the patient's tissue is manipulated by robotic instruments that follow a slave like mimic of human hands or thoughts via a computerized system" (9). There are significant variations in approach and use of the tools; three-vs. four-arm approach, totally endoscopic or with open access (minithoracotomy, capnothorax).…”

Robotic left lower sleeve lobectomy with bronchoplasty for the removal of a carcinoid tumour

“…It is believed that the robotic surgical technique significantly simplifies and eases the thoracoscopic approach for pulmonary carcinoid tumours and many other types of thoracic surgical conditions (6). With growing participation, it may potentially enhance evidenced-based practice, training, cost effectiveness and ultimately better patient outcomes and recovery.…”

Different techniques in robotic lung resection

“…Although no new technical variations have been described, the presence of more recent articles has resulted in confusion in terms used to describe different techniques. To solve this problem the American Association of Thoracic Surgeons Guideline Committee appointed an expert consensus writing committee to construct definitions and nomenclature for robotic thoracic surgery to describe the current and possible subsequent types of robotic operations performed in general thoracic surgery (14).…”