Magnetic anchoring guidance system in video-assisted thoracic surgery

Giaccone, Agnese; Solli, Piergiorgio; Bertolaccini, Luca

doi:10.21037/jovs.2017.01.13

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…A more advanced flexible scope has been suggested by Yang et al utilized in right upper lobectomy, which was criticized due to the soft scope's delicate tip [18]. Both techniques might be replaced by the recently developed magnetic anchoring and guidance system (MAGS) camera that could result in a larger viewing angle and eliminate instrument fencing [19].…”

Section: Discussionmentioning

confidence: 99%

Early surgical and oncological outcomes during adoption of a single port VATS lung resection in a tertiary cancer center: a retrospective analysis

Jalil

Chaar

Al-Qudah

et al. 2022

J Cardiothorac Surg

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Background Video-assisted thoracoscopic surgery (VATS) is a safe and effective surgical approach for pulmonary resection. VATS can be accomplished with only a single incision, resulting in less postoperative pain and paresthesia, better cosmetic results, and greater patient satisfaction. Single-port VATS (spVATS) has become increasingly common for lung resection. We assess the early surgical and oncological outcomes after adopting this new technique at our tertiary cancer center as the first institution to do so in the country. Method Medical records for 257 patients in a tertiary cancer center, with a diagnosis of non-small cell lung cancer, pulmonary metastasis, or other chest-confined pathology, were accessed to obtain perioperative outcomes, pathologic results, post-operative follow-up data, and early surgical and oncological outcomes. All patients underwent spVATS for limited or major lung resection. Simple descriptive analysis was utilized. Results spVATS was either performed with curative intent (79.8%, N = 205), or as a diagnostic procedure (20.2%, N = 52). Resection types were subcategorized for curative intent group as limited (73.6%, N = 151), lobectomy (16.6%, N = 34), and complex (9.7%, N = 20). Resection with a negative margin (R0) rate was 100% for the primary lung cancer (PLC) patients and 97% for the pulmonary metastasectomy (PM) group. The complication rate was 5%. Three-year disease-free survival was 87% and 68.5% for PLC and PM group, respectively. The 3-year overall-survival was 91.3% for the PLC and 82.8% for PM. Operation duration showed a downtrend over the study period in each curative subcategory with a borderline difference in the limited resection (P value = 0.05). Conclusion All the spVATS procedures were successfully performed without perioperative severe complications or mortality, regardless of complexity. R0 resection was excellent. Middle- and long-term efficacies of spVATS for lung cancer require further follow-up. With proper training, appropriate indication and meticulous application, adopting spVATS is safe and feasible technique that does not compromise surgical and oncological outcomes.

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Section: Discussionmentioning

confidence: 99%

Early surgical and oncological outcomes during adoption of a single port VATS lung resection in a tertiary cancer center: a retrospective analysis

Jalil

Chaar

Al-Qudah

et al. 2022

J Cardiothorac Surg

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“…Hence, MAGS assistance seemed to prevent certain limitations of LESS, such as collisions and loss of optimal triangulation. Moreover, magnetic systems have been applied in clinical fields, including urology, hepatology, gastroenterology, and thoracic surgery, [4,11,12,15] although they have not been reported systematically in LESS for gynecologic disease. Herein, our results provide preliminary data and experience for the use of MAGS-assisted LESS in gynecologic indications.…”

Section: Discussionmentioning

confidence: 99%

Internal Grasper and Magnetic Anchoring Guidance System in Gynecologic Laparoendoscopic Single-site Surgery: A Case Series

Zhang

Wang

Zhao

et al. 2021

Journal of Minimally Invasive Gynecology

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Study Objective: To evaluate and report preliminary data after the use of an internal grasper and magnetic anchoring guidance system (MAGS) to allow free movement and optimal triangulation in the abdominal cavity during gynecologic laparoendoscopic single-site surgery (LESS). Design: A prospective, single-center case series. Setting: The First Affiliated Hospital of Xi'an Jiaotong University. Patients: Eighteen female patients underwent MAGS-assisted LESS with an internal grasper. Interventions: A single surgeon performed MAGS-assisted LESS on patients with benign gynecologic diseases while documenting operative time, device insertion time, surgeon assessment of technical adaptation, patient-evaluated pain and cosmetic outcomes, adverse events, and blood loss. Measurements and Main Results: Eighteen patients underwent transumbilical MAGS-assisted LESS using an internal grasper from November 1, 2019, to December 31, 2019. The mean operative time and insertion time were 98.7 minutes and 1 minute, respectively. The use of MAGS was easily mastered by the surgeon and considered consistently useful in overcoming the limitations of LESS. The patients reported average pain scores of 4.8, 2.3, and 0.5 immediately, 24 hours, and 1 week after surgery, respectively. All patients expressed satisfaction with the postoperative cosmetic results. No serious complications were observed. The mean blood loss was 43.6 mL. Conclusion: MAGS-assisted LESS is easy to deploy and use for benign gynecologic disease and seems to result in positive outcomes. Larger randomized controlled trials are warranted.

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“…那么, 磁锚定技术是否也可以在胸腔镜手术中发挥其优势、优化胸腔镜手术流程、减少手术创伤呢? Gonzalez-Rivas [14] 及Giaccone 等人 [15] [7] . (a) 内置抓钳钳夹于胆囊底部; (b) 内置抓钳协助暴露胆囊三角; (c) 磁锚定辅助下分离 Figure 2 (Color online) Magnetic anchor technique assisted laparoscopic cholecystectomy [7] .…”

Section: 磁锚定技术在胸外科的应用unclassified

Magnetic anchor technique and its clinical application

Zhang

et al. 2020

Chin. Sci. Bull.

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Magnetic anchoring guidance system in video-assisted thoracic surgery

Cited by 9 publications

References 9 publications

Early surgical and oncological outcomes during adoption of a single port VATS lung resection in a tertiary cancer center: a retrospective analysis

Early surgical and oncological outcomes during adoption of a single port VATS lung resection in a tertiary cancer center: a retrospective analysis

Internal Grasper and Magnetic Anchoring Guidance System in Gynecologic Laparoendoscopic Single-site Surgery: A Case Series

Magnetic anchor technique and its clinical application

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