Starting a Robotic Program in General Thoracic Surgery: Why, How, and Lessons Learned

Cerfolio, Robert J.; Bryant, Ayesha S.; Minnich, Douglas J.

doi:10.1016/j.athoracsur.2011.01.104

Cited by 125 publications

(96 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In support of this, for the last 160 patients, who were operated using the described four-arm approach, the conversion rate was as low as 5.6% and hospital mortality rate 0% [4,5]. While most of our recommendations are specific for a robotic approach and therefore have been applied also by other well-known robotic surgeons [6], others are more non-specific and have, at least in part, also been reported and successfully applied in VATS [7].…”

Section: Resultssupporting

confidence: 51%

Robotic lobectomy: tips, pitfalls and troubleshooting

Kocher

Schmid

Melfi

2014

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

The robotic approach in thoracic surgery has rapidly gained popularity in recent years. As with the introduction of any new technology, this warrants not only adaptation of the operative technique itself, but also the evolution of appropriate troubleshooting strategies. A selected number of helpful tips and technical procedural manoeuvres have been compiled to prevent intraoperative problems, as well as to overcome challenging situations that can arise during robotic lobectomies. In robotic surgery, as opposed to open surgery or video-assisted thoracic surgery, these tips serve an important purpose for the operating surgeon, as well as the entire surgical team involved in the procedure. All the assembled recommendations have proved their effectiveness and have been successfully used by the authors in many procedures. Furthermore, these manoeuvres have been found to be of great importance in the training and proctoring of thoracic surgeons, fellows and residents (bed-side assistants). This guide of clearly arranged tips and troubleshooting strategies offers surgeons a useful tool to overcome difficult situations in robotic lobectomy and preferably improve the reproducibility and safety of their procedures.

show abstract

Section: Resultssupporting

confidence: 51%

Robotic lobectomy: tips, pitfalls and troubleshooting

Kocher

Schmid

Melfi

2014

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…5) Cerfolio et al extended the indications to include larger size or preoperative chemoradiation. 8) Other surgeons allowed more advanced cases which were treated by preoperative chemoradiotherapy. [9][10][11] Recent reports showed that more complicated cases needing bronchoplastic surgery were feasible for robotic surgery.…”

Section: Indicationsmentioning

confidence: 99%

“…9,[15][16][17] Cerfolio et al reported a four-arm technique without a utility incision, while Veronesi et al included the incision. 5,8) Carbon dioxide (CO 2 ) insufflation to achieve maximal surgical exposure while compressing the lung away from the operative area may provide the benefit for thoracoscopic surgery. 18) Cerfolio et al named completely portal robotic lobectomy (CPRL) by using CO 2 insufflation.…”

Section: Indicationsmentioning

confidence: 99%

“…18) Cerfolio et al named completely portal robotic lobectomy (CPRL) by using CO 2 insufflation. 8) Other groups have published reports of a four-arm technique with all ports approach. 19) In addition, Gharagozloo et al reported a hybrid robotic surgery consisting of two phases; a robotic hilar isolation phase followed by bronchovascular structure division by VATS technique.…”

Section: Indicationsmentioning

confidence: 99%

“…At the beginning of the robotic surgery era, operating time increased compared to conventional surgery. 8,14,15,20) This is due to the initial lack of well-trained operators and initially-available instruments. Most studies were therefore aimed at establishing feasibility and safety.…”

Section: Perioperative Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Robotic Surgery for Thoracic Disease

Yamashita

Yoshida

Iwasaki

2016

ATCS

View full text Add to dashboard Cite

Trends and factors affecting approach choice to pulmonary resection

Mitzman

Wang

Haaland

et al. 2022

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background The development of an advanced robotic platform in 2014 led to increased adoption of minimally invasive (MI) approaches in thoracic surgery. Due to dataset reporting lag, a comprehensive assessment of trends in thoracic approaches has not been analyzed to date. Methods We queried the National Cancer Database (NCDB) for patients with Stage I–III who underwent lung resection from 2010 to 2018. Most published NCDB analyses on lung cancer using pre‐2015 data. Overall treatment trends were analyzed, with geographic, institutional, and socioeconomic characteristics evaluated for approach. Results There were 162 335 lung resections, and 131 958 were anatomic. Robotic resection saw a steady increase through 2012 but plateaued in 2013–2014. From 2015 to 2018, another increase correlated with the release of a new platform. Video‐assisted thoracoscopic surgery lung resection plateaued in 2014 and decreased in 2018. Open resection steadily decreased. Tumors requiring neoadjuvant radiation had an increase in MI approach with corresponding decreases in the open. On multivariable analysis, African–American race, low volume, Medicaid insurance, and nonacademic setting were associated with a lower likelihood of MI surgery. Conclusions The open approach has decreased since 2010. More than 65% of anatomic resections are now performed in MI. As this trend will continue, it is important that all patients are afforded the opportunity of the least invasive approach.

show abstract

Starting a Robotic Program in General Thoracic Surgery: Why, How, and Lessons Learned

Cited by 125 publications

References 13 publications

Robotic lobectomy: tips, pitfalls and troubleshooting

Robotic lobectomy: tips, pitfalls and troubleshooting

Robotic Surgery for Thoracic Disease

Trends and factors affecting approach choice to pulmonary resection

Contact Info

Product

Resources

About