Robotic Surgery for Thoracic Disease

Yamashita, Shinichi; Yoshida, Yasuhiro; Iwasaki, Atsushi

doi:10.5761/atcs.ra.15-00344

Cited by 16 publications

(12 citation statements)

References 41 publications

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“…In the third and targeted last phase, who were planned for lobectomy operation, were included [7,[10][11][12]. The mean docking time in all groups was consistent with the literature [11].…”

Section: Discussionsupporting

confidence: 56%

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Starting experience in robotic thoracic surgery

Akkuş¹

2019

Curr Thorac Surg

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Background: The robotic assisted thoracoscopic surgery (RATS) spreads rapidly across the whole world. In this paper, the objective was to present the training experience on RATS in our clinic along with the literature. Materials and Methods: Sixty-three consecutive patients, who had undergone RATS between February 2014 and December 2018, were included in this retrospective non-randomized study. The training period was designed as three phases. Twelve patients with solid and cystic mass lesions in the mediastinum and chest wall were included in group Phase 1. The group Phase 2 consisted of 16 patients who had thymoma and benign pulmonary mass lesions, and 35 consecutive patients were enrolled into group Phase 3 group who had undergone lobectomy. Results: The patients in all groups were compared in respect of the preoperative, perioperative and postoperative results. The docking time was significantly shorter in Phase 3 patients compared to the groups Phase 1 and 2 (p < 0.05). In the lobectomy group (Phase 3), as the console time and operation time was significantly shorter after the 20th patient than the prior patients, first 20 patients were accepted as the learning curve (p < 0.05). In the lobectomy group, in three patients the operation was converted to open surgery during the perioperative period (4.7%). No mortality was observed during the 30-day follow-up. One patient died in the 6 th month of the long-term follow-up. The mean follow-up duration was 28.4 months. Conclusions: RATS is a safe, feasible, and minimally invasive method, which has low complication rates with a satisfying and short learning curve.

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“…In the third and targeted last phase, who were planned for lobectomy operation, were included [7,[10][11][12]. The mean docking time in all groups was consistent with the literature [11].…”

Section: Discussionsupporting

confidence: 56%

“…In group Phase 2, we selected 2nd level pathological conditions similar to the literature [6][7][8]. In the Phase 2 patients, the rate of air leak (n = 3) was also similar to the results in the literature [10].…”

Section: Discussionmentioning

confidence: 99%

Starting experience in robotic thoracic surgery

Akkuş¹

2019

Curr Thorac Surg

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“…Most surgeons offered RVATS to clinical stage I or II non small cell lung cancer: Veronesi et al limited the maximum size to five centimeters, Cerfolio et al extended the indications to include larger size or preoperative chemoradiation and other surgeons allowed more advanced cases (28). Recent reports showed that more complicated cases needing bronchoplastic surgery were feasible for robotic surgery (29,30).…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted thoracic surgery in Colombia: a multi-institutional initial experience

Buitrago¹,

Restrepo²

2019

Ann. Cardiothorac. Surg.

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Background: Robotic assisted videothoracoscopic surgery (RVATS) adoption has increased worldwide from 3.4% in 2010 to 17.5% in 2015. However, in Latin America, the literature is limited to a report of a series of 10 patients who underwent RVATS lobectomy and one case report of an RVATS thymectomy from Brazil. Methods: This is a retrospective review of all RVATS performed in Bogotá Colombia since 2012. A single thoracic surgeon (RB) performed all the operations at three institutions: Clínica de Marly, Fundación Clínica Shaio and Instituto Nacional de Cancerología. Preoperative, intraoperative, postoperative and pathology report variables were included. Patients were analyzed in three groups: robotic RVATS pulmonary resections, RVATS mediastinal surgeries and other RVATS procedures. Descriptive statistics were used to report the median and interquartile range (IQR) of the continuous variables, and number and percentage were used to describe categorical variables. The association between total operative time and the year the surgery was analyzed using a linear regression model. Results: Forty-seven patients underwent RVATS pulmonary resections; 72.3% (n=34) of these patients underwent a RVATS lobectomy. The median total operative time was 220 (IQR: 200 to 250) minutes, 6.4% (n=3) had intraoperative complications, and the most frequent histologic diagnosis was adenocarcinoma (n=24, 51.1%). Of 18 patients who underwent RVATS mediastinal surgeries, 50.0% (n=9) had RVATS thymectomy, the median total operative time was 195.5 (IQR: 131 to 221) minutes and two patients (11.1%) had intraoperative complications. The linear regression model of the association between total operative time and the year the surgery showed a 10.3 minute reduction per year (P=0.006). Conclusions: This is the second series of RVATS published in Latin America and the first published in Colombia, with comparable perioperative results to other reports.

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“…pump and the mechanical ventilator were accepted unquestioningly, diagnosis-making software and robots capable of remotely performing surgery have been the subjects of controversy. 3,4 Since its inception 30 years ago, robotically assisted surgery (RAS) has seen an impressive rise in popularity and applicability, ranging from urologic and gynecologic surgery to microsurgery and cardiac surgery.…”

mentioning

confidence: 99%

“…When compared with open surgery, minimally invasive thoracic surgery has demonstrated a significant reduction in morbidity, postoperative pain, and hospital stay. 4,8 However, comparisons between VATS and RATS have not determined a clear winner. Himidan and Kim 9 describe how surgery is being transformed by new technologies, both in information technology and in surgical tool development.…”

mentioning

confidence: 99%