Robotic thoracic surgery for inflammatory and infectious lung disease: initial experience in Brazil

Leite, Pedro Henrique Cunha; Mariani, Alessandro Wasum; Araújo, Paulo Amarante de; Lima, Celson; Braga, Felipe Vieira; Haddad, Rui; Campos, José Ribas Milanez de; Pêgo‐Fernandes, Paulo Manuel; Terra, Ricardo Mingarini

doi:10.1590/0100-6991e-20202872

Cited by 3 publications

(1 citation statement)

References 10 publications

(24 reference statements)

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“…Anyway, it can be said that, thanks to these centers where RATS is more accessible, national experience in thoracic RATS is gradually rising with good results, not only for oncologic resections ( 12 , 13 ) but also for benign diseases as well ( 14 ). This cumulative experience allows the possibility of a wide dissemination of the knowledge by the creation of certified national robotic training programs ( 15 , 16 ), which is the scenario we are now currently experiencing in Brazil.…”

Section: Recent Surgical Development In Specific Areas: Minimally Inv...mentioning

confidence: 99%

Thoracic surgery in Brazil: an overview

Vannucci¹,

Castro²

2022

J Thorac Dis

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Brazil is an emerging country with continental proportions, being one of the largest in the world.As big as its territory, are the complexities and singularities within it. Brazilian thoracic surgery reflects the picture of this unique giant, with all its virtues and problems. This peculiar framework of thoracic surgery in Brazil unfolds that the surgeons are usually well trained and can perform this specialty with technical and scientific excellence, making the country to play a true major role in Latin American thoracic surgery.Nevertheless, the chronic social imbalance present in every aspect of the Brazilian daily life hampers this ultra-specialized workforce to be equally and universally available for every citizen, in every corner of the country. Lung transplantation and minimally invasive approaches (including robotics) are performed by many surgeons with good results, comparable to those observed in high-income countries from North America, Europe and Asia. However, these procedures are still performed more often in centers of academic excellence, located at the main cities of the country, which also reflects an unequal access to these approaches within the Brazilian territory. The aim of this paper is to present a broad overview of the practice of general thoracic surgery in Brazil, as well as its main idiosyncrasies.

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Section: Recent Surgical Development In Specific Areas: Minimally Inv...mentioning

confidence: 99%

Thoracic surgery in Brazil: an overview

Vannucci¹,

Castro²

2022

J Thorac Dis

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Surgical treatment of non-cystic fibrosis bronchiectasis in children and adolescents: A review

Mocelin

Fischer

Piccini

et al. 2023

Paediatric Respiratory Reviews

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Robotic thoracic surgery in Brazil

Terra

2024

Einstein (São Paulo)

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Robotic surgery allows for better visualization and better handling of tissues during procedures because of the 3D view and articulated instruments which have more degrees of freedom than our own human wrist. Consequently, it is apparently easier to learn than other modalities of minimally invasive surgery (videoassisted thoracic surgery -VATS) and allows more surgeons to perform more complex procedures, particularly those that require bronchovascular sutures or reconstruction. Contributing for this assumption, recent studies have demonstrated that when compared to VATS, robotic surgery was associated with less frequent conversions, and most of the times, the additional VATS conversions were due to challenging anatomies that could have been more easily managed with the robotic plataform. (1) The first robotic procedures in Brazil were performed in 2008, but the first robotic thoracic robotic procedures were performed in 2010. Since then, we observed a very slow growth of thoracic robotic surgery numbers until 2015 when more platforms arrived, and more thoracic surgeons were trained. (2,3) From, 2015 until 2020 the number of cases performed increased substantially following a greater number of trained surgeons and platforms available. However, from 2021 on, we see a very significant acceleration in the number of thoracic robotic cases performed in Brazil due to several reasons as the increase in the number of platforms, better commercial arrangements, and most importantly the large number of newly trained surgeons since the training process was brought to Brazil and so, the surgeons did not have to go abroad for certification anymore.In 2024, we are aware that there are more than 100 thoracic surgeons that have the minimal documentation to perform robotic surgery and it is estimated that some 1500 to 2000 thoracic robotic procedures have been performed yearly. However, the challenges to start and keep a successful program are huge. The certification process nowadays regulated by the medical societies is very limited and many surgeons are reluctant to start their programs after finishing these short courses, particularly when they are at institutions where

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Robotic thoracic surgery for inflammatory and infectious lung disease: initial experience in Brazil

Cited by 3 publications

References 10 publications

Thoracic surgery in Brazil: an overview

Thoracic surgery in Brazil: an overview

Surgical treatment of non-cystic fibrosis bronchiectasis in children and adolescents: A review

Robotic thoracic surgery in Brazil

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