Thoracoscopic Lobectomy with the da Vinci Surgical System

Author(s):  
Norihiko Ishikawa ◽  
You Su Sun ◽  
L. Wiley Nifong ◽  
Go Watanabe ◽  
W. Randolph Chitwood

Thoracoscopic upper lobectomy has been performed with the da Vinci surgical system in human cadavers. A minithoracotomy and two additional thoraco ports provided access to the thoracic cavity. An auxiliary port was used for both retraction of the lung and suction. The pulmonary vessels were ligated by robotic instruments, and the bronchi were divided after suturing robotically or with automatic staplers. A standard lymph node dissection was performed. The current da Vinci surgical system provided superior optics and enhanced dexterity. The application of the system for minimally invasive lobectomy may add benefits for both surgeon and patients.

2015 ◽  
Vol 100 (5) ◽  
pp. 930-933 ◽  
Author(s):  
Naohiro Kajiwara ◽  
Junichi Maeda ◽  
Koichi Yoshida ◽  
Yasufumi Kato ◽  
Masaru Hagiwara ◽  
...  

We have previously reported on the importance of appropriate robot-arm settings and replacement of instrument ports in robot-assisted thoracic surgery, because the thoracic cavity requires a large space to access all lesions in various areas of the thoracic cavity from the apex to the diaphragm and mediastinum and the chest wall.1–3 Moreover, it can be difficult to manipulate the da Vinci Surgical System using only arms No. 1 and No. 2 depending on the tumor location. However, arm No. 3 is usually positioned on the same side as arm No. 2, and sometimes it is only used as an assisting-arm to avoid conflict with other arms (Fig. 1). In this report, we show how robot-arm No. 3 can be used with maximum effectiveness in da Vinci-assisted thoracic surgery.Fig. 1Usual positioning of arms No. 1, No. 2, and No. 3.Fig. 1. Usual positioning of arms No. 1, No. 2, and No. 3.


Author(s):  
Braden Millan ◽  
Shavy Nagpal ◽  
Maylynn Ding ◽  
Jason Y. Lee ◽  
Anil Kapoor

Objectives Since the introduction of the first master–slave robotic platform for surgical procedures, there have been ongoing modifications and development of new platforms, but there is still a paucity of commercially available systems. Our study aims to identify all master–slave robotic surgical platforms currently commercially available or in development around the world with applications in urologic surgery. Methods A scoping literature search was performed using PRISMA methodology to identify all relevant publications in English in PubMed, PubMed Central, and Embase, with additional information being obtained from official company websites. Results Ten robotic platforms with either proven or potential application in urologic surgery were identified: the da Vinci surgical system (Intuitive), Senhance surgical system (Transentrix), Versius Surgical (CMR Ltd), Enos surgical system (Titan Medical), Revo –I (Meere Company), MiroSurge (DLR), Avatera System (Avatera Medical), Hugo Surgical Robot (Medtronic), Ottava (J&J, Ethicon, Areus), and Hinotori (Medicaroid Corporation). Conclusions This review highlights the distinct features of emerging master–slave robotic platforms with applications in urologic surgery. Research and development are now focused on finding wider applications, improving outcomes, increasing availability, and reducing cost. Additional research is required comparing newly developed master–slave robotic platforms with those already well established.


2011 ◽  
Vol 36 (5) ◽  
pp. 496-498 ◽  
Author(s):  
Norihiko Ishikawa ◽  
Masahiko Kawaguchi ◽  
Hideki Moriyama ◽  
Nobuhiro Tanaka ◽  
Go Watanabe

Retina ◽  
2008 ◽  
Vol 28 (1) ◽  
pp. 154-158 ◽  
Author(s):  
DAN H. BOURLA ◽  
JEAN PIERRE HUBSCHMAN ◽  
MARTIN CULJAT ◽  
ANGELO TSIRBAS ◽  
ANURAG GUPTA ◽  
...  

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