Different techniques in robotic lung resection

Novellis, Pierluigi; Alloisio, Marco; Cariboni, Umberto; Veronesi, Giulia

doi:10.21037/jtd.2017.10.69

Cited by 7 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…

have also helped to promote the popularization of robotic VATS internationally. [5][6][7] Despite these encouraging trends for robotic thoracic surgery, there is a paucity of robust clinical data on intraoperative catastrophes, partly due to their relative

…”

mentioning

confidence: 99%

Incidence, Management, and Outcomes of Intraoperative Catastrophes During Robotic Pulmonary Resection

Cao

Cerfolio

Louie

et al. 2019

The Annals of Thoracic Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…

…”

mentioning

confidence: 99%

Incidence, Management, and Outcomes of Intraoperative Catastrophes During Robotic Pulmonary Resection

Cao

Cerfolio

Louie

et al. 2019

The Annals of Thoracic Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…The CO 2 insufflation air pressure eases hilar dissection and the detachment of pleural adhesions; its heated insufflation reduces the visual interference caused by endoscopic cauterization. In the case of selective tube displacement, the use of CO 2 insufflation protects the surgical workspace by preventing lung inflation; it also has the potential advantages of minimizing postoperative pain and reducing blood loss 7 .…”

Section: Discussionmentioning

confidence: 99%

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Akkuş,

Seyrek

2024

JoVE

View full text Add to dashboard Cite

The Completely Portal Robotic Lobectomy (CPRL-4) technique is increasingly favored for lobectomy procedures due to its advancements over traditional robot-assisted lobectomy (RAL). CPRL-4 integrates a fourth robotic arm and CO 2 insufflation, resulting in superior visualization within the intrathoracic cavity owing to enhanced lung deflation. While CPRL-4 effectively achieves pulmonary resection, extracting specimens typically necessitates an intercostal utility thoracotomy, which may pose risks. To address potential damage associated with this method, we introduced a subcostal trans-diaphragmatic access port during resection, later enlarging it for specimen removal post-lobectomy. This study evaluated the efficacy and feasibility of this subcostal trans-diaphragmatic specimen removal approach following CPRL-4 procedures for pulmonary malignancies, all performed by a single surgical team.The findings suggest that subcostal specimen removal post-CPRL-4 offers several advantages, including reduced risk of thoracotomy-related complications, making it a practical, feasible, and safe method. This innovation has the potential to improve outcomes and patient care in pulmonary malignancy surgeries significantly.

show abstract

“…[ 14 ] Moreover, heated CO 2 reduces visual interference caused by cauterization smoke and prevents potential lung parenchyma desiccation and further inflammation. [ 15 ] The RAL technique cannot maintain CO 2 insufflation due to the utility incision that is open to room air. In our opinion, the use of CO 2 is practical in robotic lobectomy.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted lobectomy versus completely portal robotic lobectomy: What is the difference?

Akkuş

Seyrek

2020

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Background: This study aims to compare robot-assisted lobectomy versus completely portal robotic lobectomy. Methods: Between January 2014 and December 2019, a total of 41 patients (10 males, 31 females; median age 62 years; range, 50 to 68 years) underwent robotic anatomical pulmonary resection in our institution were retrospectively analyzed. The patients were consecutively divided into two groups: the first 20 (48.8%) patients underwent pulmonary resection by robot-assisted lobectomy technique, while the next 21 (51.2%) patients underwent pulmonary resection by completely portal robotic lobectomy with four arms. Data including age, sex, diagnosis, surgery type and duration, rate of conversion to open surgery, and length of stay of the patients were recorded. The operation time, docking time, console time, and closure duration for each patient were also noted. Results: There was no statistically significant difference in age, sex, comorbidities, complications, length of hospital stay, adequate lymph node staging, or tumor size and side between the two groups (p>0.05). However, the mean console and operation times were statistically significantly shorter in the patients receiving completely portal robotic lobectomy with four arms (p=0.001). Conclusion: The advantage of completely portal robotic lobectomy with four arms is relative, although it significantly shortens the operation time. Based on our experiences, this technique may be preferred in case of inadequate lung deflation, as carbon dioxide insufflation allows sufficient workspace for robotic lung resection.

show abstract

Different techniques in robotic lung resection

Cited by 7 publications

References 18 publications

Incidence, Management, and Outcomes of Intraoperative Catastrophes During Robotic Pulmonary Resection

Incidence, Management, and Outcomes of Intraoperative Catastrophes During Robotic Pulmonary Resection

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Robot-assisted lobectomy versus completely portal robotic lobectomy: What is the difference?

Contact Info

Product

Resources

About