The evolution of robotic thoracic surgery

Abstract

Robotic surgery has the features to represent the future of surgery, considering the rapid evolution of its technology and the resulting in the surgical field. In the last years, the robotic technique in thoracic surgery has progressively become widespread in the word, particularly for the treatment of the mediastinal and pulmonary lesions. The development of technology in the robotic system has been associated with the improvement of intraoperative and postoperative results. Due to the satisfying results and increasing experience and confidence with the robotic technique, surgeons are consequently enlarging the surgical indication, moving to increasingly challenging cases. Thoracic robotic surgery is being affirmed as a safe technique also for those complex cases, which in the past were considered a matter solely for open surgery. In fact, robotic surgery is increasingly associated with positive surgical results and guarantees less traumatism and a fast recovery to the patients. These positive results have resulted from the evolution of the technique, which has developed in parallel with the evolution of the technology, exploiting to its best the latest features of the robotic system. These features, such as the fluorescence-detection tool or the robotic stapler, have been aiding the surgeon to maximise the safety and feasibility of the application of the robotic technique to thoracic surgery.

Use of Augmented Reality in Reconstructive Microsurgery: A Systematic Review and Development of the Augmented Reality Microsurgery Score

“…Similar issues once existed for robotic surgery across many surgical disciplines, but the challenges were overcome and robotic surgery has become commonplace. 29,[38][39][40][41][42][43] There should be no reason why the use of AR in reconstructive microsurgery should not follow a similar natural history and is expected to be welcomed into clinical practice if the hurdles that limit its use can be addressed.…”

Phẫu thuật nội soi lồng ngực Robot dùng đường vào nội soi thông thường

“…Trong vòng 5 năm trở lại đây, với sự ra đời của những hệ thống robot mới như Xi vào năm 2014, hoạt động của hệ thống robot đã có những cải tiến vượt bậc. Stapler đã được gắn vào tay robot, camera có thể thay đổi ở các cổng trocar khác nhau như nội soi thông thường, phẫu thuật robot đã có những bước tiến ngoạn mục giúp xử lý những tình huống khó liên quan đến mạch máu, là yếu tố dễ gây nguy hiểm và chuyển sang mổ mở nhiều nhất trong phẫu thuật nội soi (4) Theo khuyến cáo của hãng cũng như nhiều tác giả áp dụng, các lỗ vào (trocar) trong mổ robot thường là thẳng hàng trên một khoang liên sườn, trừ lỗ hỗ trợ ở cách 1 hoặc 2 khoang liên sườn phía dưới (5). Chúng tôi áp dụng đặt trocar hình tam giác như các mổ nội soi lồng ngực thông thường và thấy chúng hoạt động hiệu quả, giảm bớt được 1 lỗ vào (4 thay vì 5)…”

Detailed comparison of the da Vinci Xi and S surgical systems for transaxillary thyroidectomy

“…Robotic surgical systems have evolved over time, and the da Vinci Xi system was developed in 2014. [ 10 ] This newly introduced da Vinci Xi surgical system has improvements with its slimmer body, narrower arms, rotatable boom, and higher definition vision, it was expected to solve the shortcomings of the previous S system. However, little analysis has been reported to determine which procedure of the robotic thyroidectomy is enhanced when using these improvements.…”