Robotic thoracic surgery using the single-port robotic system: Initial experience with more than 100 cases

Lee, Jun Hee; Park, Tae Hyun; Kim, Hyun Koo

doi:10.1016/j.jtcvs.2024.03.005

The Journal of Thoracic and Cardiovascular Surgery

2024

DOI: 10.1016/j.jtcvs.2024.03.005

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Robotic thoracic surgery using the single-port robotic system: Initial experience with more than 100 cases

Jun Hee Lee,

Tae Hyun Park,

Hyun Koo Kim

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2024

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Cited by 3 publications

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Pain outcomes of outside-the-cage robotic thoracic surgery: a prospective matched-cohort study

Streit,

Walsh,

Stasiak

et al. 2024

J Robotic Surg

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Pain outcomes of outside-the-cage robotic thoracic surgery: a prospective matched-cohort study

Streit,

Walsh,

Stasiak

et al. 2024

J Robotic Surg

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Initial experience with the da Vinci single-port system in patients with an anterior mediastinal mass

Kim,

Yun

et al. 2024

European Journal of Cardio-Thoracic Surgery

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OBJECTIVES The da Vinci single-port system is a novel robotic system that has gained popularity and demonstrated favourable outcomes in various surgical fields. Nevertheless, its application in thoracic surgery is relatively rare. In this study, we report our initial experiences with the da Vinci single-port system via a subxiphoid approach in patients with an anterior mediastinal mass. METHODS We retrospectively reviewed patients with an anterior mediastinal mass who underwent surgery using the da Vinci single-port system via a subxiphoid approach between October 2020 and April 2024. Clinicopathological, intraoperative, and postoperative data were retrospectively collected. RESULTS A total of 14 patients were included in this study. The median age was 55 years (interquartile range 48–62 years), with 4 (28.6%) patients being male. All patients underwent complete resection without conversion to multiport or open surgery. The median operation time was 135 min (interquartile range 113–155 min). Nine (64.3%) patients were diagnosed with thymoma, and 2 (14.3%) patients had myasthenia gravis. The median pathologic size of the mass was 32.5 mm (interquartile range 25.3–38.0 mm), and the median peak Numerical Rating Scale score was 3 (interquartile range 2–4). The median duration of chest drainage and hospital stay were 2 (interquartile range 1–3) and 3 (interquartile range 2–3) days, respectively. No complications were reported following surgery. CONCLUSIONS The da Vinci single-port system for anterior mediastinal mass was deemed safe and feasible. To expand indications in thoracic surgery, further accumulation of experience and additional technological advancements are necessary.

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Subxiphoid Single-Port Robotic Thymectomy Using the Single-Port Robotic System versus VATS: A Multi-Institutional, Retrospective, and Propensity Score-Matched Study

Lee,

Hwang,

Park

et al. 2024

Cancers

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Subxiphoid thymectomy is a novel alternative to the transthoracic approach and sternotomy, with potential benefits, such as reduced postoperative pain and faster recovery. We previously reported the initial experience with subxiphoid single-port robotic-assisted thoracic surgery (SRATS) thymectomy using the single-port robotic system (SPS). However, the efficacy of this technique remains unknown. Thus, this study examined the multi-institutional experience with SRATS thymectomy and compared the perioperative outcomes of this technique to those of subxiphoid single-port video-assisted thoracic surgery (SVATS) thymectomy. The data of patients who underwent subxiphoid SRATS and SVATS thymectomy, performed by three thoracic surgeons at three institutions between September 2018 and May 2024, were retrospectively collected. In total, 110 patients were included, with 85 and 25 undergoing SRATS and SVATS thymectomy, respectively. After propensity score matching, 25 patients were included in each group. The SRATS group was associated with a lower conversion rate to multi-port surgery (0% vs. 20%, p = 0.05), shorter chest tube drainage duration (1.32 ± 0.75 vs. 2.00 ± 1.29 days, p = 0.003), and a shorter postoperative hospital stay (2.52 ± 1.00 vs. 5.08 ± 5.20 days, p = 0.003). Subxiphoid SRATS thymectomy using the SPS is feasible and is a good alternative to conventional thymectomy. Further studies are necessary to confirm its benefits.

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Robotic thoracic surgery using the single-port robotic system: Initial experience with more than 100 cases

Cited by 3 publications

References 31 publications

Pain outcomes of outside-the-cage robotic thoracic surgery: a prospective matched-cohort study

Pain outcomes of outside-the-cage robotic thoracic surgery: a prospective matched-cohort study

Initial experience with the da Vinci single-port system in patients with an anterior mediastinal mass

Subxiphoid Single-Port Robotic Thymectomy Using the Single-Port Robotic System versus VATS: A Multi-Institutional, Retrospective, and Propensity Score-Matched Study

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