Robotic Surgery in General Thoracic Surgery

Analysis of initial results of robotic surgery for general thoracic surgery

The Journal of the Japanese Association for Chest Surgery ◽

10.2995/jacsurg.26.704 ◽

2012 ◽

Vol 26 (7) ◽

pp. 704-712

Author(s):

Hiroshige Nakamura ◽

Yuji Taniguchi ◽

Kunio Araki ◽

Ken Miwa ◽

Shinji Fujioka ◽

...

Keyword(s):

Robotic Surgery ◽

Thoracic Surgery ◽

General Thoracic Surgery ◽

Initial Results

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Faculty Opinions recommendation of Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1104475.560508 ◽

2008 ◽

Author(s):

Stephen Cassivi

Keyword(s):

Thoracic Surgery ◽

Surgical Management ◽

Lung Tumors ◽

Primary Lung Tumors ◽

General Thoracic Surgery

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Management of chyle leakage after general thoracic surgery: Impact of thoracic duct embolization

Thoracic Cancer ◽

10.1111/1759-7714.13914 ◽

2021 ◽

Author(s):

Yeong Jeong Jeon ◽

Jong Ho Cho ◽

Dongho Hyun ◽

Sumin Shin ◽

Hong Kwan Kim ◽

...

Keyword(s):

Thoracic Surgery ◽

Thoracic Duct ◽

Chyle Leakage ◽

General Thoracic Surgery

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A Prolonged Air Leak Score for Lung Cancer Resection: An Analysis of The Society of Thoracic Surgeons General Thoracic Surgery Database

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2019.05.069 ◽

2019 ◽

Vol 108 (5) ◽

pp. 1478-1483 ◽

Cited By ~ 7

Author(s):

Christopher W. Seder ◽

Sanjib Basu ◽

Timothy Ramsay ◽

Gaetano Rocco ◽

Shanda Blackmon ◽

...

Keyword(s):

Lung Cancer ◽

Thoracic Surgery ◽

Air Leak ◽

Cancer Resection ◽

Prolonged Air Leak ◽

General Thoracic Surgery

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Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562015000000212 ◽

2016 ◽

Vol 42 (3) ◽

pp. 185-190 ◽

Cited By ~ 6

Author(s):

Ricardo Mingarini Terra ◽

Pedro Henrique Xavier Nabuco de Araujo ◽

Leticia Leone Lauricella ◽

José Ribas Milanez de Campos ◽

Herbert Felix Costa ◽

...

Keyword(s):

Robotic Surgery ◽

Thoracic Surgery ◽

Thoracoscopic Surgery ◽

Sao Paulo ◽

Pathological Examination ◽

São Paulo ◽

Pulmonary Lobectomy ◽

Video Assisted ◽

Tertiary Teaching ◽

Video Assisted Thoracoscopic Surgery

ABSTRACT Objective: To describe the implementation of a robotic thoracic surgery program at a public tertiary teaching hospital and to analyze its initial results. Methods: This was a planned interim analysis of a randomized clinical trial aimed at comparing video-assisted thoracoscopic surgery and robotic surgery in terms of the results obtained after pulmonary lobectomy. The robotic surgery program developed at the Instituto do Câncer do Estado de São Paulo, in the city of São Paulo, Brazil, is a multidisciplinary initiative involving various surgical specialties, as well as anesthesiology, nursing, and clinical engineering teams. In this analysis, we evaluated the patients included in the robotic lobectomy arm of the trial during its first three months (from April to June of 2015). Results: Ten patients were included in this analysis. There were eight women and two men. The mean age was 65.1 years. All of the patients presented with peripheral tumors. We performed right upper lobectomy in four patients, right lower lobectomy in four, and left upper lobectomy in two. Surgical time varied considerably (range, 135-435 min). Conversion to open surgery or video-assisted thoracoscopic surgery was not necessary in any of the cases. Intraoperative complications were not found. Only the first patient required postoperative transfer to the ICU. There were no deaths or readmissions within the first 30 days after discharge. The only postoperative complication was chest pain (grade 3), in two patients. Pathological examination revealed complete tumor resection in all cases. Conclusions: When there is integration and proper training of all of the teams involved, the implementation of a robotic thoracic surgery program is feasible and can reduce morbidity and mortality.

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Navigating the Pathway to Robotic Competency in General Thoracic Surgery

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0b013e3182a05788 ◽

2013 ◽

Vol 8 (3) ◽

pp. 184-189 ◽

Cited By ~ 3

Author(s):

Christopher W. Seder ◽

Stephen D. Cassivi ◽

Dennis A. Wigle

Keyword(s):

Robotic Surgery ◽

Thoracic Surgery ◽

Skill Acquisition ◽

Perioperative Complications ◽

Lung Resection ◽

Perioperative Outcomes ◽

Open Approach ◽

Robot Assisted ◽

Robotic Skills ◽

Competency Based

Objective Although robotic technology has addressed many of the limitations of traditional videoscopic surgery, robotic surgery has not gained widespread acceptance in the general thoracic community. We report our initial robotic surgery experience and propose a structured, competency-based pathway for the development of robotic skills. Methods Between December 2008 and February 2012, a total of 79 robot-assisted pulmonary, mediastinal, benign esophageal, or diaphragmatic procedures were performed. Data on patient characteristics and perioperative outcomes were retrospectively collected and analyzed. During the study period, one surgeon and three residents participated in a triphasic, competency-based pathway designed to teach robotic skills. The pathway consisted of individual preclinical learning followed by mentored preclinical exercises and progressive clinical responsibility. Results The robot-assisted procedures performed included lung resection (n = 38), mediastinal mass resection (n = 19), hiatal or para-esophageal hernia repair (n = 12), and Heller myotomy (n = 7), among others (n = 3). There were no perioperative mortalities, with a 20% complication rate and a 3% readmission rate. Conversion to a thoracoscopic or open approach was required in eight pulmonary resections to facilitate dissection (six) or to control hemorrhage (two). Fewer major perioperative complications were observed in the later half of the experience. All residents who participated in the thoracic surgery robotic pathway perform robot-assisted procedures as part of their clinical practice. Conclusions Robot-assisted thoracic surgery can be safely learned when skill acquisition is guided by a structured, competency-based pathway.

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