A Review of Robotic Thoracic Surgery Adoption and Future Innovations

Lazar, John F.; Hwalek, Ann E.

doi:10.1016/j.thorsurg.2022.07.010

Cited by 9 publications

(5 citation statements)

References 41 publications

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“…The SP can introduce several advantages owing to its single port design, although it would most likely require sub-xiphoid placement rather than a trans-thoracic intercostal placement. Several other companies are also introducing their own robotic platforms such as Versius by CMR Surgical (Cambridge, UK), Hugo by Medtronic (Dublin, Ireland) and Ottave by Johnson & Johnson Auris (Redwood City, CA, USA) to name a few ( 1 ).…”

Section: Future Directionmentioning

confidence: 99%

“…With patients presenting a complex and diverse range of pathologies, the advancement of surgical techniques and equipment has become increasingly essential. Although video-assisted thoracoscopic surgery (VATS) has gained worldwide acceptance, robotic thoracic surgery has gained further momentum due to the platform’s capacity to address many, if not all, limitations associated with traditional VATS approaches ( 1 ). Notable improvements include unparalleled three-dimensional (3D) views with steady magnification, wristed instruments providing enhanced maneuverability across several degrees of freedom, which prove extremely useful in addressing issues within the 3D anatomy of the chest, lung, esophagus and mediastinum.…”

Section: Introductionmentioning

confidence: 99%

“…Although prior studies have demonstrated and established the role for the robotic approach in many of these complex operations and disease presentations, it has done so in isolated silos for each topic ( 1 , 5 - 12 ). It is prudent to review the application of the robotic approach across multiple operations within a single discipline with a collective eye, as there are many areas of overlap, and technical considerations that can be shared or improved upon.…”

Section: Introductionmentioning

confidence: 99%

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Tackling complex thoracic surgical operations with robotic solutions: a narrative review

Odeh,

Wyant,

Freeman

et al. 2024

J Thorac Dis

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Background and Objective The adoption of robotic surgery for general thoracic surgery has rapidly progressed over the last two decades from its application in basic operations to complex pathologies. As such, the purpose of this narrative review is to highlight the collective experience of tackling complex thoracic surgical operations with minimally invasive robotic solutions. Methods Electronic searches of PubMed were conducted for each subtopic, using specific keywords and inclusion criteria. Once identified, the articles were screened through the abstract, introduction, results and conclusion for relevancy, and included based on a standard narrative review inclusion criteria. Key Content and Findings The role of the robotic approach has increased in thoracic outlet syndrome, chest wall resection, tracheobronchomalacia, airway and sleeve lung surgery, lobectomy after neoadjuvant therapy, complex segmentectomy, giant paraesophageal hernia repair, esophagectomy and esophageal enucleation, mediastinal masses and thymectomy and lung transplantation. Robotic surgery has several advantages when compared to video-assisted and open thoracoscopic surgery. These include better pain control and aesthetic outcome, improved handling of complex anatomy, enhanced access to lymph nodes, and faster recovery rates. Although it is associated with longer operative time, robotic surgery has comparable morbidity rates. Conclusions The robotic approach to complex thoracic problems is safe, effective, and associated with improved patient outcomes. To encourage wider adoption of robotic technology, increased training and expanded research efforts are essential, alongside improved worldwide access to this technology.

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Section: Future Directionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tackling complex thoracic surgical operations with robotic solutions: a narrative review

Odeh,

Wyant,

Freeman

et al. 2024

J Thorac Dis

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“…Por contra, requiere un mayor número de incisiones que en la cirugía VATS (habitualmente cuatro o cinco), exige la presencia junto al paciente de un cirujano torácico experto responsable de diseñar el abordaje y posición de los brazos del robot, y para profesionales con mucha más experiencia en cirugía VATS que en técnica abierta clásica, la curva de aprendizaje está resultado paradójicamente mayor (56). Si hay un aspecto de la técnica quirúrgica que realmente se beneficia del abordaje RATS, es la disección ganglionar hiliomediastínica, que se torna más sencilla, precisa y exhaustiva (57,58). Recientemente, el Dr. González Rivas, uno de los cirujanos con más experiencia en cirugía VATS unipulmonar, ha presentado su serie inicial de 30 casos intervenidos por un único puerto a través del cual un sistema robótico accede al tórax, para desplegar los brazos mecánicos en el interior del mismo y permitir la resección quirúrgica (59).…”

Section: Resección Completa En Cpcnpunclassified

Surgical treatment in lung cancer

Jarabo,

Fernández,

Fraile

et al. 2023

Rev Cancer

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ResumenEl escenario de cáncer de pulmón de célula no pequeña ha cambiado, con nuevos retos como la detección precoz de tumores a través de programas de cribado, abordajes multidisciplinares con nuevos fármacos, una precisa tipificación biomolecular tumoral, el creciente número de pacientes en situación funcional límite que son rescatables para cirugía, y la consecución de resecciones oncológicas completas con abordajes mínimamente invasivos. Los cirujanos torácicos se enfrentan a nódulos pulmonares pequeños sin confirmación citohistológica difíciles de localizar intraoperatoriamente, nuevas peculiaridades técnicas tras tratamientos neoadyuvantes nuevos, pacientes añosos con múltiples comorbilidades y tumores localmente avanzados o metastásicos que se hacen potencialmente resecables tras tratamientos sistémicos. Para ello contamos con nuevas tecnologías como sistemas de asistencia robótica, programas de reconstrucción de imágenes, herramientas para detección y marcaje de nódulos y, especialmente, el entusiasmo de profesionales trabajando para lograr altas tasas de curación y largas supervivencias con máximos niveles de calidad de vida.

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“…In recent years, advances in imaging and interventional technology, such as threedimensional imaging, minimally invasive surgery, fluorescence-guided surgery, and roboticassisted surgery, have shown a promising improvement in safety and precision, and a potential improvement in clinical outcomes [1][2][3][4][5]. However, all of these technologies are still not standardized in clinical practice and they still encounter challenges to their wider adoption, such as their high cost and a lack of reimbursement.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Potential of Three-Dimensional Imaging, Printing, and Modeling in Pediatric Surgical Oncology: A New Era of Precision Surgery

Valls-Esteve,

Adell-Gómez,

Pasten

et al. 2023

Children

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Pediatric surgical oncology is a technically challenging field that relies on CT and MRI as the primary imaging tools for surgical planning. However, recent advances in 3D reconstructions, including Cinematic Rendering, Volume Rendering, 3D modeling, Virtual Reality, Augmented Reality, and 3D printing, are increasingly being used to plan complex cases bringing new insights into pediatric tumors to guide therapeutic decisions and prognosis in different pediatric surgical oncology areas and locations including thoracic, brain, urology, and abdominal surgery. Despite this, challenges to their adoption remain, especially in soft tissue-based specialties such as pediatric surgical oncology. This work explores the main innovative imaging reconstruction techniques, 3D modeling technologies (CAD, VR, AR), and 3D printing applications through the analysis of three real cases of the most common and surgically challenging pediatric tumors: abdominal neuroblastoma, thoracic inlet neuroblastoma, and a bilateral Wilms tumor candidate for nephron-sparing surgery. The results demonstrate that these new imaging and modeling techniques offer a promising alternative for planning complex pediatric oncological cases. A comprehensive analysis of the advantages and limitations of each technique has been carried out to assist in choosing the optimal approach.

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A Review of Robotic Thoracic Surgery Adoption and Future Innovations

Cited by 9 publications

References 41 publications

Tackling complex thoracic surgical operations with robotic solutions: a narrative review

Tackling complex thoracic surgical operations with robotic solutions: a narrative review

Surgical treatment in lung cancer

Exploring the Potential of Three-Dimensional Imaging, Printing, and Modeling in Pediatric Surgical Oncology: A New Era of Precision Surgery

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