Transition from video-assisted thoracic surgery to robotic pulmonary surgery

Journal of Visualized Surgery
Takashi Suda

Abstract

The "da Vinci Surgical System" is a robotic surgical system that utilizes multi-jointed robotic arms and a high-resolution three-dimensional video-monitoring system. We report on the state of transition from video-assisted thoracoscopic surgery (VATS) to robotic pulmonary surgery, the surgical outcomes of robotic surgery compared to VATS, and the future of robotic surgery. Surgery utilizing the da Vinci Surgical System requires a console surgeon and assistant who have been certified by Intuitive Surgical, Inc., the system manufacturer. On the basis of the available medical literature, a robotic lobectomy has a learning curve that extends over approximately 20 cases for a surgeon who has mastered VATS. Surgery using the da Vinci System is safe, is associated with lower morbidity and mortality rates than thoracotomy, leads to shorter postoperative hospital stays, and ensures improved postoperative quality of life. Currently, no prospective studies comparing it to VATS have been conducted. The various studies that have compared robotic surgery and VATS have reported different results. At the present time, the benefits to patients of robotic surgery compared to VATS remain unclear. Areas in which robotic surgery may be superior to ...Continue Reading

Citations

Mar 6, 2018·Expert Review of Respiratory Medicine·Sophia ChenRobert James Cerfolio
Mar 6, 2019·Journal of Robotic Surgery·William Wrightson
Aug 14, 2019·The Korean Journal of Thoracic and Cardiovascular Surgery·Priyanka DasHak Soo Choi
Aug 30, 2019·Khirurgiia·V A PorkhanovS A Krygin
Mar 31, 2019·Journal of Robotic Surgery·Augustinus P T van der PloegPeter D de Rooij

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