Pure Robot-Assisted Uniportal Anatomical Lung Resection for Non-Small Cell Lung Cancer: Technical Aspects and Early Outcomes

IF 2.1 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2025-10-03 DOI:10.1002/rcs.70114

Stefano Bongiolatti, Lavinia Gatteschi, Alessandro Gonfiotti, Giovanni Mugnaini, Simone Tombelli, Luca Voltolini

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Abstract

Objective

Minimally invasive anatomic lung resections are the standard for early non-small-cell lung cancer, and the robotic approach has gained popularity and the latest frontier is the uniportal robotic (uRATS) approach. The goal of our study is to share our series showing technical details, feasibility and early outcomes.

Methods

From December 2024, we started the uRATS programme for selected patients. Continuous and dichotomous variables were recorded about surgery and the perioperative period. Non-parametric tests were used to compare the data between uRATS and contemporary patients treated with robotic multiport RATS.

Results

In 4 months we performed two segmentectomies and five Lobectomy through uRATS, while one patient was converted due to incomplete fissure. No severe perioperative complications occurred and in the comparison with the multiport approach, no significant differences in operative time, conversions and complications were observed.

Conclusions

The Uniportal RATS approach was safe and feasible with adequate surgical and oncologic post-operative results.

Abstract Image

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纯机器人辅助单门解剖肺切除术治疗非小细胞肺癌：技术方面和早期结果

目的微创解剖肺切除术是早期非小细胞肺癌的标准治疗方法，机器人入路越来越受欢迎，最新的前沿是单门机器人（uRATS）入路。我们研究的目的是分享我们展示技术细节、可行性和早期结果的系列。方法从2024年12月开始，对选定的患者开展uRATS项目。记录手术和围手术期的连续变量和二分类变量。采用非参数检验比较uRATS与采用机器人多端口RATS治疗的当代患者的数据。结果在4个月内，我们通过uRATS进行了2例节段切除术和5例肺叶切除术，其中1例患者因不完全性裂而转化。围手术期无严重并发症发生，与多口入路比较，手术时间、转位及并发症无明显差异。结论大鼠入路安全可行，手术及术后肿瘤效果良好。

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

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.