Non-intubated robotic-assisted thoracic surgery for tracheal/airway resection and reconstruction safe: editorial commentary

Zalepugas, Donatas; Schnorr, P; Schmidt, Joachim; Bedetti, Benedetta

doi:10.21037/atm-21-5128

Cited by 2 publications

(1 citation statement)

References 10 publications

(11 reference statements)

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“…These include physiologic and anesthesiologic concerns, such as hypoxia, hypercapnia, and uncontrolled cough. Not to mention, the risk of life-threatening bleeding from a thoracic operation in the absence of a secure airway ( 52 ). As we discuss the role of emerging technologies, and adopt minimally invasive robotic approaches to complex operations, it is important not only to demonstrate feasibility, but also safety and reliability ( 53 ).…”

Section: Robotic Airway and Sleeve Lung Resectionmentioning

confidence: 99%

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: Robotic Airway and Sleeve Lung Resectionmentioning

confidence: 99%

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

Odeh,

Wyant,

Freeman

et al. 2024

J Thorac Dis

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Adoption of the Robotic Platform across Thoracic Surgeries

Tung,

Yendamuri,

Seastedt

2024

JCM

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

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Non-intubated robotic-assisted thoracic surgery for tracheal/airway resection and reconstruction safe: editorial commentary

Cited by 2 publications

References 10 publications

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

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

Adoption of the Robotic Platform across Thoracic Surgeries

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