Uniportal three-arm robotic-assisted thoracic surgery right upper lobe and carinal sleeve resection

Ning, Ye; Chen, Zhigang; Zhang, Wentian; Zhu, Yuming; Jiang, Lei

doi:10.21037/acs-2022-urats-17

Cited by 5 publications

(5 citation statements)

References 5 publications

(6 reference statements)

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“…Since then, U-RATS has been gradually accepted globally. In 2022, Ning et al performed a right upper lobe and carinal sleeve resection through U-RATS ( 17 ). Paradela et al compared the early outcomes of U-RATS and U-VATS and confirmed the safety, feasibility, and efficacy of U-RATS in 2022 ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Uniportal robot-assisted thoracoscopic double-sleeve lobectomy after neoadjuvant immunotherapy

Fang,

Li,

Bosinceanu

et al. 2024

Front. Surg.

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Minimally invasive thoracic surgery, including video-assisted thoracoscopic surgery and robot-assisted thoracoscopic surgery, has been proven to have an advantage over open thoracotomy with less pain, fewer postoperative complications, faster discharge, and better tolerance among elderly patients. We introduce a uniportal robot-assisted thoracoscopic double-sleeve lobectomy performed on a patient following neoadjuvant immunotherapy. Specialized instruments like customized trocars with a reduced diameter, bulldog clamps, and double-needle sutures were utilized to facilitate the maneuverability through the single incision. This technique integrates the merits of multiport robot-assisted thoracic surgery with uniportal video-assisted thoracoscopic surgery.

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Section: Discussionmentioning

confidence: 99%

Case Report: Uniportal robot-assisted thoracoscopic double-sleeve lobectomy after neoadjuvant immunotherapy

Fang,

Li,

Bosinceanu

et al. 2024

Front. Surg.

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“…Overwhelmingly, the included studies focused on the application of u-RATS for lobectomies, segmentectomies, and wedge resections, though some authors have also accomplished proficiency in the more complex sleeve resections (8,13), to good effect. Anterior mediastinal masses also appear readily amenable to this approach, with slight variations on the technique required to optimize robotic arm/camera positioning (15).…”

Section: Discussionmentioning

confidence: 99%

“…A total of 137 studies on the application of u-RATS were identified for inclusion, with 12 progressing to inclusion (5 cohort series, 7 case reports) (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). The cohort series are presented in Table 3.…”

Section: Study Characteristics and Baseline Demographic Data (See Tab...mentioning

confidence: 99%

The perioperative outcomes of uniportal robotic-assisted thoracic surgeries—a systematic review and meta-analysis of surgical cohort studies and case reports

Wilson-Smith¹,

Wilson-Smith²,

Anning³

et al. 2023

Ann Cardiothorac Surg

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Background: Early results have illustrated the multiportal robotic approach to be safe and oncologically efficacious in the treatment of thoracic malignancies. Industry leaders have improved upon the lessons learned during the early multiportal studies and have now come to establish the feasibility of the biportal, and subsequently the uniportal robotic-assisted approach, all in an effort to offer patients equivalent or better outcomes with less surgical trauma. No current, coherent body of evidence currently exists outlining the early-term outcomes of patients undergoing uniportal robotic-assisted thoracic surgery. This systematic review and meta-analysis sought to clarify the early-phase outcomes of these patients.Methods: An electronic search of four databases was performed to identify relevant studies outlining the immediate post-operative outcomes of patients undergoing uniportal robotic-assisted thoracic surgeries. The primary endpoint was defined as technical success (i.e., no conversion to secondary robotic, video-assisted thoracoscopic, or open approaches). Secondary endpoints of interest included post-operative outcomes and complication rates. A meta-analysis using a random effects model of proportions or means was applied, as appropriate.Results: The search strategy ultimately yielded 12 relevant studies for inclusion. A total of 240 patients (52% male) split across cohort studies and case reports were identified. The mean age of the two groups was 59.7±3.0 and 58.1±6.8 years, respectively. The mean operative time was 133.8±38.2 and 150.0±52.2 minutes, respectively. Length of hospital stay was 4.4±1.6 and 4.3±1.1 days, respectively. The mean blood loss was 80.0±25.1 mL The majority of identified procedures were lobectomies, segmentectomies, and wedge resections, though complex sleeve resections and anterior mediastinal mass resections were also completed.Cumulative technical success was 99.9%. Conclusions:The uniportal robotic-assisted approach, when completed in expert hands, has been illustrated to have exceedingly low rates of conversion to secondary procedures, along with short length of stay (LOS), minimal blood loss, and short procedural times (variable depending on operation type). Current evidence on the feasibility of this approach will be bolstered by upcoming multi-institutional series.

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“…Alternativ kann wie bei der OP-Feld-Beatmung eine Intubation über den operativen Zugang erfolgen. Bei video-und roboterassistierten thorakoskopischen Bifurkationsresektionen hat sich aus Platzgründen die HFJV als Standard etabliert [22,23,24].…”

Section: Hochfrequenz-jet-ventilationunclassified

Resektionen der Trachealbifurkation

Lopez-Pastorini,

Stoelben

2024

Zentralbl Chir

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ZusammenfassungDie Bifurkationsresektion wird in der Literatur übereinstimmend als einer der anspruchsvollsten thoraxchirurgischen Eingriffe beschrieben. Unter diesem Begriff werden verschiedene Eingriffe zusammengefasst, die abhängig von der zugrunde liegenden Erkrankung und ihrer Ausdehnung unterschiedliche Resektionsformen und Rekonstruktionstechniken erfordern. Aus chirurgischer Sicht sind vor allem die engen anatomischen Verhältnisse und die Technik der Rekonstruktion der zentralen Atemwege herausfordernd. Ein komplexes Atemwegsmanagement und eine aufwendige postoperative Nachsorge zeigen jedoch, dass diese Eingriffe über die chirurgische Expertise hinaus, die Leistung eines multidisziplinären Teams darstellen. Dieser Artikel widmet sich den wichtigsten prä-, intra- und postoperativen Aspekten dieser Eingriffe.

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Uniportal three-arm robotic-assisted thoracic surgery right upper lobe and carinal sleeve resection

Cited by 5 publications

References 5 publications

Case Report: Uniportal robot-assisted thoracoscopic double-sleeve lobectomy after neoadjuvant immunotherapy

Case Report: Uniportal robot-assisted thoracoscopic double-sleeve lobectomy after neoadjuvant immunotherapy

The perioperative outcomes of uniportal robotic-assisted thoracic surgeries—a systematic review and meta-analysis of surgical cohort studies and case reports

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