{"title":"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","authors":"Stefano Bongiolatti, Lavinia Gatteschi, Alessandro Gonfiotti, Giovanni Mugnaini, Simone Tombelli, Luca Voltolini","doi":"10.1002/rcs.70114","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The Uniportal RATS approach was safe and feasible with adequate surgical and oncologic post-operative results.</p>\n </section>\n </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pure Robot-Assisted Uniportal Anatomical Lung Resection for Non-Small Cell Lung Cancer: Technical Aspects and Early Outcomes\",\"authors\":\"Stefano Bongiolatti, Lavinia Gatteschi, Alessandro Gonfiotti, Giovanni Mugnaini, Simone Tombelli, Luca Voltolini\",\"doi\":\"10.1002/rcs.70114\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The Uniportal RATS approach was safe and feasible with adequate surgical and oncologic post-operative results.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50311,\"journal\":{\"name\":\"International Journal of Medical Robotics and Computer Assisted Surgery\",\"volume\":\"21 5\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-10-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Medical Robotics and Computer Assisted Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70114\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Robotics and Computer Assisted Surgery","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70114","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Pure Robot-Assisted Uniportal Anatomical Lung Resection for Non-Small Cell Lung Cancer: Technical Aspects and Early Outcomes
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.
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.
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