Early experience with robotic technology for thoracoscopic surgery

Melfi, Franca; Menconi, G; Mariani, Andrea; Angeletti, Carlo Alberto

doi:10.1016/s1010-7940(02)00102-1

Cited by 297 publications

(175 citation statements)

References 11 publications

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“…The first report of robotic lobectomy for lung cancer was published in 2002. 1) Since early-stage non-small-cell lung cancer (NSCLC) is a candidate for surgery with curative intent, these cancer surgeries have been performed using video-assisted thoracic surgery (VATS). 2) State inpatient databases (SID) showed that 40% of lung cancers were operated on by VATS and 3.4% by robotic systems in 2010.…”

Section: Introductionmentioning

confidence: 99%

Robotic Surgery for Thoracic Disease

Yamashita

Yoshida

Iwasaki

2016

ATCS

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Section: Introductionmentioning

confidence: 99%

Robotic Surgery for Thoracic Disease

Yamashita

Yoshida

Iwasaki

2016

ATCS

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“…These suggestions have evolved over the course of performing many robotic surgical procedures over the years, and putting them into practice has proved effective in challenging situations that have arisen. In support of this, for the last 160 patients, who were operated using the described four-arm approach, the conversion rate was as low as 5.6% and hospital mortality rate 0% [4,5]. While most of our recommendations are specific for a robotic approach and therefore have been applied also by other well-known robotic surgeons [6], others are more non-specific and have, at least in part, also been reported and successfully applied in VATS [7].…”

Section: Resultsmentioning

confidence: 53%

Robotic lobectomy: tips, pitfalls and troubleshooting

Kocher

Schmid

Melfi

2014

European Journal of Cardio-Thoracic Surgery

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The robotic approach in thoracic surgery has rapidly gained popularity in recent years. As with the introduction of any new technology, this warrants not only adaptation of the operative technique itself, but also the evolution of appropriate troubleshooting strategies. A selected number of helpful tips and technical procedural manoeuvres have been compiled to prevent intraoperative problems, as well as to overcome challenging situations that can arise during robotic lobectomies. In robotic surgery, as opposed to open surgery or video-assisted thoracic surgery, these tips serve an important purpose for the operating surgeon, as well as the entire surgical team involved in the procedure. All the assembled recommendations have proved their effectiveness and have been successfully used by the authors in many procedures. Furthermore, these manoeuvres have been found to be of great importance in the training and proctoring of thoracic surgeons, fellows and residents (bed-side assistants). This guide of clearly arranged tips and troubleshooting strategies offers surgeons a useful tool to overcome difficult situations in robotic lobectomy and preferably improve the reproducibility and safety of their procedures.

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“…For resections concerning lower lobes, the service port was opened at the arm number two, as described elsewhere. [15] We had three incisions with this technique. The rest of the operation was performed with the camera in 30 degrees down position.…”

Section: Methodsmentioning

confidence: 99%

Robotic anatomic pulmonary resection in octogenarian patients with primary lung cancer: report of seven cases

Demirhan¹

2016

Turk Gogus Kalp Dama

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ÖZAmaç: Bu yazıda 80 yaş ve üstü primer akciğer kanseri hastalarında robotik anatomik akciğer rezeksiyonları ile deneyimlerimiz sunuldu ve sonuçlar daha genç bir hasta nüfusu ile karşılaştırıldı.Ça lış ma pla nı: Ekim 2011 -Ocak 2015 tarihleri arasında primer akciğer kanseri nedeni ile kliniğimizde robotik anatomik pulmoner rezeksiyon uygulanan 75 hastanın verileri geriye yönelik değerlendirildi. Hastalar 80 yaş ve üstü (oktojenaryan, n=7) (6 erkek, 1 kadın; ort. yaş 82.0±1.8 yıl; dağılım 80-84 yıl) ve 80 yaş altı (oktojenaryan olmayan, n=68) (51 erkek, 17 kadın; ort. yaş 61±11 yıl; dağılım 31-79 yıl) olmak üzere iki gruba ayrıldı ve elde edilen sonuçlar karşılaştırıldı. Bul gu lar:Yedi oktojenaryan hastaya dört lobektomi ve üç segmentektomi uygulandı. Ortalama robot kurulum, konsol ve toplam ameliyat süreleri sırasıyla 21±12, 75±10 ve 101±20 dakika idi. Ortalama hastanede kalış süresi 6±4 gün idi. Mortalite yoktu, fakat iki hastada (%29) minör komplikasyon gelişti. Oktojenaryan hastaların akciğer fonksiyon test sonuçları daha düşük, dren ve hastanede kalış süreleri daha uzun olsa da rezeksiyon tipleri, ameliyat süreleri, rezeke edilen lenf nodu sayıları, lezyonların boyutu, mortalite ve morbidite oranları, oktojenaryan olmayanlarla karşılaştırıldığında benzerdi.So nuç: Bu öncü çalışma robotik anatomik akciğer rezeksiyonu yapılan oktojenaryan hastaların ameliyat sonrası sonuçlarının daha genç hastalarla benzer olduğunu göstermektedir. Robotik yaklaşımla anatomik akciğer rezeksiyonları, ameliyatı ve tam rezeksiyonu kaldırabilecek uygun seçilmiş oktojenaryan primer akciğer tümörlü hastalarda uygulanabilir.Anah tar söz cük ler: Akciğer kanseri; oktojenaryan; sonuçlar; robotik akciğer rezeksiyonu. ABSTRACTBackground: This article aims to report our experience with robotic anatomic pulmonary resections in primary lung cancer patients aged 80 years and older and to compare the results with a younger patient population.

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Early experience with robotic technology for thoracoscopic surgery

Cited by 297 publications

References 11 publications

Robotic Surgery for Thoracic Disease

Robotic Surgery for Thoracic Disease

Robotic lobectomy: tips, pitfalls and troubleshooting

Robotic anatomic pulmonary resection in octogenarian patients with primary lung cancer: report of seven cases

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