Robotic thoracic surgery using the single-port robotic system: Initial experience with more than 100 cases

IF 4.9 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-12-01 DOI:10.1016/j.jtcvs.2024.03.005

Jun Hee Lee MD, Tae Hyun Park MD, Hyun Koo Kim MD, PhD

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引用次数: 0

Abstract

Objective

This study aimed to report the initial experiences of 115 patients who underwent robotic thoracic surgery using the da Vinci single-port robotic surgical system (Intuitive Surgical).

Methods

Robotic thoracic surgery using the da Vinci single-port robotic surgical system was performed on 115 patients between November 2020 and June 2023. Patient characteristics, intraoperative outcomes, and postoperative outcomes were analyzed retrospectively.

Results

The type of surgeries included thymectomy, mediastinal mass excision, anatomical pulmonary resection (including lobectomy and segmentectomy), esophagectomy, and enucleation of esophageal submucosal tumors in 41, 13, 54, 5, and 2 patients, respectively. The mean total operative time and chest tube duration for different procedures were as follows: thymectomy, 152.9. ± 6.7 minutes and 1.2 ± 0.5 days; mediastinal mass excision, 93.3 ± 26.5 minutes and 1.0 ± 0 days; anatomical pulmonary resection, 187.2 ± 55.8 minutes and 2.5 ± 1.5 days; esophagectomy, 485 ± 111.9 minutes and 12 ± 4.6 days; and enucleation of esophageal submucosal tumors, 170 ± 30 minutes and 5.5 ± 0.5 days, respectively. Conversion to a thoracotomy or sternotomy was not required. Conversion to video-assisted thoracic surgery occurred in 1 patient, and an additional port was applied in 2 patients. Two patients experienced postoperative complications greater than grade IIIa.

Conclusions

Robotic thoracic surgery using the da Vinci single-port robotic surgical system is feasible and safe in various fields of thoracic surgery, including complex procedures such as anatomical pulmonary resection and esophagectomy. More complex thoracic surgeries can be performed with the continuous advancement and innovation of instruments in robotic systems.

Abstract Image

查看原文本刊更多论文

使用单孔机器人系统的机器人胸腔手术：100多例手术的初步经验。

研究目的本研究旨在报告115例使用达芬奇单孔机器人手术系统（直觉外科）进行机器人胸腔手术的患者的初步经验：2020年11月至2023年6月期间，115名患者接受了使用达芬奇单孔机器人手术系统的机器人胸腔手术。对患者特征、术中结果和术后结果进行了回顾性分析：手术类型包括胸腺切除术、纵隔肿块切除术、解剖性肺切除术（包括肺叶切除术和肺段切除术）、食管切除术和食管粘膜下肿瘤去核术，患者人数分别为41人、13人、54人、5人和2人。不同手术的平均总手术时间和胸管持续时间如下：胸腺切除术，152.9±6.7 分钟，1.2±0.5 天；纵隔肿块切除术，93.3±26.5 分钟，1.0±0天；解剖肺切除术，187.2±55.8分钟，2.5±1.5天；食管切除术，485±111.9分钟，12±4.6天；食管粘膜下肿瘤去核术，170±30分钟，5.5±0.5天。无需转为胸廓切开术或胸骨切开术。1名患者转为视频辅助胸腔手术，2名患者使用了额外的端口。两名患者术后并发症超过 IIIa 级：使用达芬奇单孔机器人手术系统进行机器人胸外科手术在胸外科的各个领域都是可行和安全的，包括解剖性肺切除术和食管切除术等复杂手术。随着机器人系统器械的不断进步和创新，可以进行更复杂的胸腔手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Thoracic and Cardiovascular Surgery 医学-呼吸系统

CiteScore

11.20

自引率

10.00%

发文量

1079

审稿时长

68 days

期刊介绍： The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery, congenital cardiac repair, thoracic procedures, heart and lung transplantation, mechanical circulatory support and other procedures.