Uniportal robotic assisted surgery for anatomical lung resection—First German experience

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2023-10-04 DOI:10.1002/rcs.2580

Davor Stamenovic, P. Schiller, I. Karampinis, C. Galata, E. D. Roessner

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Abstract

Background

Uniportal robotic-assisted thoracic surgery (uRATS) has emerged as a promising technique with potential advantages over multiportal approaches. This study aims to evaluate our initial outcomes of uRATS.

Material and Methods

Five patients underwent anatomic lung resections with systematic nodal dissection through a uniportal robotic approach by one surgeon. The results were compared to the results of the first five uniportal video-assisted thoracic surgery (uVATS) anatomical resections performed by the same surgeon.

Results

No adverse events occurred during the uRATS-procedures. Comparable surgical outcomes were observed between uRATS and uVATS, including hospital stays, complication rates, and blood loss. The average procedural time was slightly but non-significantly longer in the uRATS-group. Average pain-scores were lower in the uRATS group. One patient in each group experienced major postoperative complications, with one case of in-hospital mortality in the uRATS-group.

Conclusion

The outcomes of uRATS/uVATS were comparable, highlighting the potential and the feasibility of this technique. Prospective studies comparing the learning curves, complication rate and hospital-stay are required in order to justify the superiority of robotics over uVATS.

Abstract Image

查看原文本刊更多论文

Uniportal机器人辅助肺解剖切除术德国首例经验。

背景：单门机器人辅助胸部手术（uRATS）已成为一种很有前途的技术，与多门手术相比具有潜在的优势。本研究旨在评估uRATS的初步结果。材料和方法：五名患者由一名外科医生通过单门机器人入路进行了解剖肺切除和系统淋巴结清扫。将结果与同一外科医生进行的前五次单门视频辅助胸部手术（uVATS）解剖切除的结果进行比较。结果：uRATS手术过程中未发生不良事件。在uRATS和uVATS之间观察到可比较的手术结果，包括住院时间、并发症发生率和失血量。uRATS组的平均手术时间稍长，但无显著性差异。uRATS组的平均疼痛评分较低。每组有一名患者出现严重的术后并发症，uRATS组有一例住院死亡。结论：uRATS/uVATS的结果具有可比性，突出了该技术的潜力和可行性。需要对学习曲线、并发症发生率和住院时间进行前瞻性研究，以证明机器人技术优于uVATS。

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.