Uniportal Robotic Lung Resection Techniques DOI
Philicia Moonsamy, Bernard J. Park

Deleted Journal, Год журнала: 2023, Номер 33(3), С. 283 - 289

Опубликована: Июль 5, 2023

Uniportal video-assisted thoracic surgical (U-VATS) and telerobotic techniques have become widely adopted strategies for lung resection represent a natural progression born of advancing technologic innovation decades expanding clinical experience. Combining the best that each approach offers may be next logical step in evolution minimally invasive surgery. Two parallel efforts are underway: one combines traditional U-VATS incision with multi-arm platform utilizes new single-arm device. Feasibility refinement technique will need to achieved before any conclusions about efficacy can drawn.

Язык: Английский

A Propensity Score-Matching Analysis: Robotic Thymectomy Through the Subxiphoid Has Advantages Over Video-Assisted Thymectomy Surgery DOI

Nuerboli Chendaer,

Ning Jiang,

Yingtao Hao

и другие.

Journal of Laparoendoscopic & Advanced Surgical Techniques, Год журнала: 2023, Номер 33(9), С. 859 - 865

Опубликована: Июль 6, 2023

Objective: The purpose of this article is to evaluate the security and effectiveness subxiphoid subcostal robot-assisted thoracoscopic thymectomy (S-RATT) compare it with video-assisted (S-VATT) in terms short-term perioperative results costs. Methods: A retrospective study was carried out on 62 individuals who had undergone successful complete for anterior mediastinal disease using arch approaches. Propensity score-matching analysis utilized between two groups, outcomes were compared. Results: S-RATT group exhibited less intraoperative blood loss (20 ± 15.35 versus 69.55 69.54, P < .001), lower levels C-reactive protein (112.38 68.08 72.58 42.62, = .027), postoperative pain scores (2.09 1.54 4.27 1.28, .001). However, hospitalization costs patients S-VATT found be than those (33,802.41 8785.05 49,977.53 20,221.79, Conclusions: appears a viable secure method managing tumors.

Язык: Английский

Процитировано

5
Subcostal uniportal robotic anatomic lung resection: A pilot trial DOI Creative Commons
Chuan Cheng, Evangelos Tagkalos, Chong Beng Ng

и другие.

JTCVS Techniques, Год журнала: 2024, Номер 25, С. 160 - 169

Опубликована: Апрель 28, 2024

ObjectiveRobot-assisted thoracoscopic surgery typically necessitates the use of multiple ports. The new single-port robotic system (da Vinci SP system) platform is designed to perform uniportal surgery. purpose this clinical trial evaluate feasibility, efficacy, and safety da when used for anatomical lung resection.MethodsPatients diagnosed with stage I cancer requiring resections were considered eligible trial. primary outcome measure was rate conversion, whereas secondary objective focused on assessing incidence perioperative complications.ResultsThe study included 35 patients a median age 63 years (range, 48-74 years). Of these, 30 underwent lobectomy 5 received segmentectomy. All surgeries successfully performed using subcostal approach, except 1 patient, who required thoracotomy conversion due bleeding (conversion rate: 2.9%). docking time 2 minutes 1-8 minutes). For 34 completed surgery, total operating 194 63-405 minutes), console 153 93–267 number harvested nodes 13 5-37), while nodal stations 6 (rang, 4-8). There no in-hospital fatalities, postoperative stay 3 days 2-12 days).ConclusionsThis demonstrates feasibility resection through approach.ClinicalTrials.gov identifierNCT05535712.

Язык: Английский

Процитировано

1
Adoption of the Robotic Platform across Thoracic Surgeries DOI Open Access
Kaity Tung, Sai Yendamuri, Kenneth P. Seastedt

и другие.

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(19), С. 5764 - 5764

Опубликована: Сен. 27, 2024

With the paradigm shift in minimally invasive surgery from video-assisted thoracoscopic platform to robotic platform, thoracic surgeons are applying new technology through various commonly practiced surgeries, striving improve patient outcomes and reduce morbidity mortality. This review will discuss updates lung resections, transplantation, mediastinal surgeries with a focus on thymic resection, rib tracheal tracheobronchoplasty, diaphragm plication, esophagectomy, paraesophageal hernia repair. The transition open (VATS) now (RVATS) allows complex be completed smaller incisions better visualization high-definition images finer mobilization, accomplishing what might unresectable before, permitting shorter hospital stay, minimizing healing time, encompassing broader surgical candidacy. Moreover, not only achieved lead surgeon could carry out during but also training of next generation via accessible live video feedback recordings. Though larger volume randomized controlled studies pending compare VATS RVATS published show non-inferiority data performances. progressive enhancement, such as overcoming lack haptic feedback, future incorporation artificial intelligence (AI), likely cost-effective route once overcome initial learning curve.

Язык: Английский

Процитировано

1
Robotics in Microsurgery and Supermicrosurgery DOI
Heather R. Burns, Alexandra McLennan,

Erica Y. Xue

и другие.

Seminars in Plastic Surgery, Год журнала: 2023, Номер 37(03), С. 206 - 216

Опубликована: Авг. 1, 2023

Abstract Microsurgery has changed the ability to perform highly precise and technical surgeries through utilization of high-powered microscopes specialized instruments manipulate repair anatomical structures as small a few millimeters. Since first human trials robotic-assisted microsurgery in 2006, expansion supermicrosurgery (luminal diameter less than 1 mm) enabled successful previously inaccessible structures. Surgical robotic systems can offer two distinct operative advantages: (1) minimal access surgery—by entering body cavities ports, flap harvest be redesigned affect minimally invasive approach for flaps such rectus abdominis muscle, latissimus flap, deep inferior epigastric perforator flap; (2) precision—by eliminating physiologic tremor, improving ergonomics, increasing accessibility difficult spaces, providing motion scaling, precision is significantly enhanced. Robotic-assisted promising application robotics plastic surgeon played an important role harvest, head neck reconstruction, nerve gender-affirming surgery, lymphatic reconstruction—all while minimizing surgical morbidity. This article aims review history, technology, surgery.

Язык: Английский

Процитировано

3
Single-port robotic right upper lobe lobectomy: A case report DOI Creative Commons
Chuan Cheng, Evangelos Tagkalos,

Ching Feng Wu

и другие.

JTCVS Techniques, Год журнала: 2023, Номер 20, С. 162 - 165

Опубликована: Июнь 7, 2023

Central MessageWe present a technique of single-port robotic lobectomy using the da Vinci SP system (Intuitive Surgical).See Commentary on page XXX. We Surgical). See Robotic lung resection has become increasingly accepted as safe and effective alternative to thoracoscopic surgery.1Wu H. Jin R. Yang S. Park B.J. Li Long-term short-term outcomes robot-versus video-assisted anatomic in cancer: systematic review meta-analysis.Eur J Cardio Thorac Surg. 2021; 59: 732-740Crossref PubMed Scopus (0) Google Scholar The introduction System Surgical) recently marked major technical breakthrough.2Wu C.F. Cheng C. Suen K.H. Stein Chao Y.K. A preclinical feasibility study subcostal anatomical subxiphoid thymectomy System.Diagnostics. 2023; 13: 460Crossref Here, we describe patient diagnosed with right upper lobe adenocarcinoma who underwent successful System. 70-year-old woman was referred surgical clinic due diagnosis cT2 N0 M0 (RUL) (Figure E1). RUL performed Informed consent obtained for publication patient's data. approved by Institutional Review Board Chang Gung Memorial Hospital, Taiwan (reference: CGMH-IRB 202101423A0; October 12, 2021. This is registered at www.ClinicalTrials.gov, identifier NCT05535712). illustrated Video 1. After intubation double-lumen endotracheal tube, placed left lateral decubitus position. 4-cm incision mark initially positioned intersection between arch midclavicular line E2, red line). 5-mm observation port subsequently created distance 10 12 cm, perpendicular midpoint mark, connected carbon dioxide insufflator (pressure, 8 mm Hg) green circle). subcutaneous tissue oblique muscles were incised until transverse abdominis fascia visible. By tunneling finger blunt dissection below costal cartilages above diaphragm, pleural space accessed. insertion uniportal access device (da Access Port Kit) connection an insufflator, single 2.5-cm trocar docked Patient-Side Cart Arm. In this procedure, four instruments employed: Cadiere forceps, fenestrated bipolar Maryland monopolar curved scissors. sequence mirrored that multiport surgery. Following completion mediastinal lymph node 1), meticulous carried out alongside vessels, creating adequate secure stapler. handheld endovascular stapling instrument inserted 2).Figure 2The transection pulmonary artery executed instrument, which through incision. Both external internal views are displayed.View Large Image Figure ViewerDownload Hi-res image Download (PPT) Upon diaphragm rest wound closed. total operating time 210 minutes, including creation (14 minutes) robot docking (4 minutes). No significant intraoperative events observed. chest tube removed postoperative day 1 discharged home 3 without complications. immediate pain intensity score measured 5 10; however, first day, it decreased 10. conducting histopathological examination, lepidic predominant pT1 cN0 (20 examined nodes) identified RUL. All tumor margins negative. account successfully utilizing platform resection. incorporating camera into 25-mm shaft, greatly minimizes risk collisions. innovative elbow deployment enables deploy diamond configuration, allowing entire operative field move cohesively unit. Furthermore, holographic display panel assists surgeons tracking orientation internally, relative themselves, helps reduce conflicts. These features have potential facilitate smooth transition surgery platforms already proficient Nevertheless, encountered few challenges upon implementing technique. First, limited width human intercostal spaces presented challenge cannula, leading us opt access.3Sihoe A.D. Chawla Paul Nair A. Lee J. Yin K. Technique delivering large tumors lobectomy.Asian Cardiovasc Ann. 2014; 22: 319-328Crossref (9) However, hilum considerable, causing certain difficulties during instrument's inherent length limitations. Consequently, essential further investigate appropriate range cavity sizes procedures. Another issue equipment advanced energy devices compatible currently unavailable. scenario, bronchus vessels should be stapler experienced bedside assistant. Removal arm stapling, use staples extra-long proper selection curve tip design other useful measures can ensure safe, collision-free procedure 2). Our findings substantiate notion resections both effectively safely platforms.

Язык: Английский

Процитировано

2
Comparison Results of Three-Port Robot-Assisted and Uniportal Video-Assisted Lobectomy for Functional Recovery Index in the Treatment of Early Stage Non-small Cell Lung Cancer: A Propensity Score-Matched Analysis DOI Creative Commons

Haixiao Diao,

Xü Lin, Xiao Li

и другие.

Annals of Surgical Oncology, Год журнала: 2023, Номер 31(4), С. 2470 - 2481

Опубликована: Дек. 17, 2023

Abstract Background Minimally invasive lobectomy is the standard treatment for early stage non-small cell lung cancer (NSCLC). The aim of this study to investigate postoperative recovery in a prospective trial discharged patients with undergoing robot-assisted thoracic surgery (RATS) versus uniportal video-assisted (UVATS). Patients and Methods This observational study. From 9 September 2022 1 July 2023, 178 diagnosed NSCLC admitted Department Thoracic Surgery Shandong Provincial Hospital signed informed consent underwent by RATS UVATS. functional index included MD Anderson Symptom Inventory, Christensen Fatigue Scale, EORTC QLQ-C30, Leicester Cough Questionnaire. Results After propensity score-matched analysis, each group 42 cases. For baseline characteristics patients, operation time ( p = 0.01) length stay 0.04) were shorter group. number lymph nodes resected was much more than UVATS According our investigation, appetite loss, nausea, diarrhea, cough severity after better first week, pain degree higher UVATS, while there no difference during second third week. physical score 0.04), according Conclusion associated severe short-term but less complications.

Язык: Английский

Процитировано

2
Moderne individualisierte Diagnostik und Behandlung des nichtkleinzelligen Lungenkarzinoms DOI
H. Winter, Martin E. Eichhorn, Florian Eichhorn

и другие.

Deleted Journal, Год журнала: 2024, Номер 95(4), С. 280 - 287

Опубликована: Фев. 20, 2024

Etwa die Hälfte aller Patient*innen mit einem nichtkleinzelligen Lungenkarzinom ("non-small cell lung cancer", NSCLC) wird in den resektablen Tumorstadien (I-IIIA) diagnostiziert und ist potenziell kurativ therapierbar. Im frühen Tumorstadium IA (Tumordurchmesser ≤2 cm) führt sublobäre Resektion (Segmentektomie oder atypische Keilresektion) zu der Lobektomie vergleichbaren 5‑Jahres-Langzeitüberleben. Der Einsatz Immuntherapie, insbesondere im Rahmen neoadjuvanten Behandlung, voraussichtlich chirurgische Therapie des NSCLC Zukunft verändern. Mit für 2024 geplanten Einführung Lungenkrebsscreenings bestimmte Risikogruppen Deutschland können Lungentumoren früheren häufiger behandelt werden. Dieser Artikel gibt eine Übersicht über mögliche Auswirkungen Lungenkrebsscreenings, moderne minimal-invasive Operationstechniken neoadjuvante Behandlungskonzepte Behandlung NSCLC.

Процитировано

0
Single-Port Robotic Trans-Subxiphoid Surgery for Anterior Mediastinal Disease: A Pilot Trial DOI
Chuan Cheng, Evangelos Tagkalos, Chong Beng Ng

и другие.

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery, Год журнала: 2024, Номер 19(3), С. 268 - 273

Опубликована: Май 1, 2024

In recent years, there has been an increasing focus on minimally invasive mediastinal surgery using a trans-subxiphoid single-port thoracoscopic approach. Despite its potential advantages, the widespread adoption of this method hindered by intricate surgical maneuvers required within confined retrosternal space. Robotic offers to overcome limitations inherent in technique.

Язык: Английский

Процитировано

0
Uniportal Robotic Lung Resection Techniques DOI
Philicia Moonsamy, Bernard J. Park

Deleted Journal, Год журнала: 2023, Номер 33(3), С. 283 - 289

Опубликована: Июль 5, 2023

Uniportal video-assisted thoracic surgical (U-VATS) and telerobotic techniques have become widely adopted strategies for lung resection represent a natural progression born of advancing technologic innovation decades expanding clinical experience. Combining the best that each approach offers may be next logical step in evolution minimally invasive surgery. Two parallel efforts are underway: one combines traditional U-VATS incision with multi-arm platform utilizes new single-arm device. Feasibility refinement technique will need to achieved before any conclusions about efficacy can drawn.

Язык: Английский

Процитировано

1