Transitioning to robotics in a successful thoracoscopic and laparoscopic thoracic program: why do it, and how?

Abstract

Background: the rise of robotics in thoracic surgeryThe robotic surgical platform has been embraced with impressive speed over the past few decades, despite initial skepticism from many surgeons. Computer Motion's initial robot, "Zeus", while a revolution in its time, had many limitations, particularly in articulation. This limited the utility of the robotic platform in complex operations and fueled early skepticism. However, while "Zeus" was approved for a limited number of clinical trials, Computer Motion's competitor, Intuitive Surgical, was soon to release their robotic platform, with several key technologic advances. The two companies merged in 2003 leading to overall improved technology. Intuitive Surgical's "Davinci" system emerged as the clinical forerunner for nearly two decades as more advanced versions of the platform were introduced. The skills required to complete complex cases with the Davinci were soon acquired by an increasing number of surgeons, and, today, robotic-assisted surgery with the Davinci has become the new "norm" in many centers.The robotic platform has been utilized in thoracic surgery for over 20 years, with one of the first reported