Robotic sleeve lobectomy-recent advances

Shanahan, Ben; O’Sullivan, Katie E.; Redmond, Karen

doi:10.21037/jtd.2019.02.103

Cited by 8 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sleeve resection had previously been limited to an open approach, barring a few specialized centers, given VATS's limited maneuverability and lack of depth perception. Robotic-assisted bronchoplasty was first described in cadaver models before being applied in a hybrid VATS/RATS fashion ( 27 ). The challenges of bronchoplasty are well-suited to the robotic platform and allow for precise intrathoracic suturing.…”

Section: Robotic Sleeve Resectionmentioning

confidence: 99%

Extended Robotic Pulmonary Resections

et al. 2021

View full text Add to dashboard Cite

While lung cancer remains the most common cause of cancer-related mortality in the United States, surgery for curative intent continues to be a mainstay of therapy. The robotic platform for pulmonary resection for non-small cell lung cancer (NSCLC) has been utilized for more than a decade now. With respect to more localized resections, such as wedge resection or lobectomy, considerable data exist demonstrating shorter length of stay, decreased postoperative pain, improved lymph node dissection, and overall lower complication rate. There are a multitude of technical advantages the robotic approach offers, such as improved optics, natural movement of the operator's hands to control the instruments, and precise identification of tissue planes leading to a more ergonomic and safe dissection. Due to the advantages, the scope of robotic resections is expanding. In this review, we will look at the existing data on extended robotic pulmonary resections, specifically post-induction therapy resection, sleeve lobectomy, and pneumonectomy. Additionally, this review will examine the indications for these more complex resections, as well as review the data and outcomes from other institutions' experience with performing them. Lastly, we will share the strategy and outlook of our own institution with respect to these three types of extended pulmonary resections. Though some controversy remains regarding the use and safety of robotic surgery in these complex pulmonary resections, we hope to shed some light on the existing evidence and evaluate the efficacy and safety for patients with NSCLC.

show abstract

Section: Robotic Sleeve Resectionmentioning

confidence: 99%

Extended Robotic Pulmonary Resections

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Recent reports of robot-assisted highly complex lung surgery including sleeve and double sleeve resections have grown (9). Improvements in the latest generation of robotic platform, and the build-up of experience and skill to reconstruct airways by minimally invasive approach, particularly the change to use of continuous suturing technique (8), has provided the foundations for and the confidence to perform NITS RATS tracheal/carinal resection reconstruction.…”

Section: Editorial Commentarymentioning

confidence: 99%

Amalgamation of technology, advance trachea-carinal plasty technique, extensive non-intubated thoracic surgery experience and knowledge: the jigsaw pieces all coming together?

Ng¹,

Chan²,

Lau³

2021

Ann Transl Med

View full text Add to dashboard Cite

“…Robotic pneumonectomy is not frequently performed probably due to complexity of the procedure and the experience of the operators. The recent ability demonstrated by some authors to perform robotic lungsparing surgery (23)(24)(25)(26) has opened new frontiers also in the robotic domain. These new surgical less invasive approaches should be reserved for centers with high volume of robotic surgical operations.…”

Section: Commentmentioning

confidence: 99%

Robotic pneumonectomy

Galetta¹,

Spaggiari²

2021

Shanghai Chest

View full text Add to dashboard Cite

Pneumonectomy is an extensive surgical resection sometimes required to treat centrally located lung cancer or tumor infiltrating different pulmonary lobes across fissures. For several years, this surgical procedure was performed by an open approach; more recently, with the advent of less invasive approaches [robotic-assisted surgery and video-thoracoscopic thoracic surgery (VATS)], pneumonectomy has been performed by a minimally invasive approach which showed, compared to a standard thoracotomic approach, a real benefit for patients in terms of minor morbidity, minor hospital stay together with good oncological results. In the last decade we assisted to an increasing adoption of the robotic approach in thoracic surgery mainly due to the features of this technique respect to VATS: a good magnification of the anatomic structures, a best vision, an increased degree of freedom in movements, and absence of the tremor. Many reports on thoracic robotic approach described the technique, the advantages, and reported mainly data and solid experience in performing lobectomy and segmentectomy in early-stage lung cancer but very few centers performed robotic pneumonectomy. We sought to describe in this article our experience in performing robotic pneumonectomy, reporting the indications, the surgical technique, and pros and cons of this less invasive approach.

show abstract

Robotic sleeve lobectomy-recent advances

Cited by 8 publications

References 10 publications

Extended Robotic Pulmonary Resections

Extended Robotic Pulmonary Resections

Amalgamation of technology, advance trachea-carinal plasty technique, extensive non-intubated thoracic surgery experience and knowledge: the jigsaw pieces all coming together?

Robotic pneumonectomy

Contact Info

Product

Resources

About