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Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature

Background: Robotic surgery is increasingly used in the treatment of lung disease. Intraoperative catastrophes, despite their low incidence, are currently a critical aspect of this approach. This study aims to identify the incidence and management of catastrophic events in patients who underwent rob...

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Autores principales: Manfredini, Beatrice, Zirafa, Carmelina Cristina, Romano, Gaetano, Bagalà, Elena, Cariello, Claudia, Davini, Federico, Melfi, Franca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865565/
https://www.ncbi.nlm.nih.gov/pubmed/36676164
http://dx.doi.org/10.3390/life13010215
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author Manfredini, Beatrice
Zirafa, Carmelina Cristina
Romano, Gaetano
Bagalà, Elena
Cariello, Claudia
Davini, Federico
Melfi, Franca
author_facet Manfredini, Beatrice
Zirafa, Carmelina Cristina
Romano, Gaetano
Bagalà, Elena
Cariello, Claudia
Davini, Federico
Melfi, Franca
author_sort Manfredini, Beatrice
collection PubMed
description Background: Robotic surgery is increasingly used in the treatment of lung disease. Intraoperative catastrophes, despite their low incidence, are currently a critical aspect of this approach. This study aims to identify the incidence and management of catastrophic events in patients who underwent robotic anatomical pulmonary resection; (2) Methods: Data from all patients who underwent robotic anatomical pulmonary resection from 2014 to 2021 for lung disease were collected and analyzed. Catastrophic intraoperative events are defined as events that demanded emergency management for life-threatening bleeding, with or without undocking and thoracotomy; (3) Results: Catastrophic events occurred in seven (1.4%) procedures; all of them consisted of vascular damage during lobectomy. Most of the catastrophic events occurred during left upper lobectomies (57%). Patients in this group had a higher ASA class and a higher pathological stage compared to the control group; (4) Conclusions: Intraoperative catastrophes are unpredictable events which also occur in experienced surgical teams. Given the widespread use of robotic surgery, it is essential to develop well-defined crisis management strategies to better manage catastrophic events in robotic thoracic surgery and improve clinical outcomes.
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spelling pubmed-98655652023-01-22 Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature Manfredini, Beatrice Zirafa, Carmelina Cristina Romano, Gaetano Bagalà, Elena Cariello, Claudia Davini, Federico Melfi, Franca Life (Basel) Article Background: Robotic surgery is increasingly used in the treatment of lung disease. Intraoperative catastrophes, despite their low incidence, are currently a critical aspect of this approach. This study aims to identify the incidence and management of catastrophic events in patients who underwent robotic anatomical pulmonary resection; (2) Methods: Data from all patients who underwent robotic anatomical pulmonary resection from 2014 to 2021 for lung disease were collected and analyzed. Catastrophic intraoperative events are defined as events that demanded emergency management for life-threatening bleeding, with or without undocking and thoracotomy; (3) Results: Catastrophic events occurred in seven (1.4%) procedures; all of them consisted of vascular damage during lobectomy. Most of the catastrophic events occurred during left upper lobectomies (57%). Patients in this group had a higher ASA class and a higher pathological stage compared to the control group; (4) Conclusions: Intraoperative catastrophes are unpredictable events which also occur in experienced surgical teams. Given the widespread use of robotic surgery, it is essential to develop well-defined crisis management strategies to better manage catastrophic events in robotic thoracic surgery and improve clinical outcomes. MDPI 2023-01-12 /pmc/articles/PMC9865565/ /pubmed/36676164 http://dx.doi.org/10.3390/life13010215 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Manfredini, Beatrice
Zirafa, Carmelina Cristina
Romano, Gaetano
Bagalà, Elena
Cariello, Claudia
Davini, Federico
Melfi, Franca
Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
title Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
title_full Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
title_fullStr Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
title_full_unstemmed Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
title_short Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
title_sort intraoperative catastrophes during robotic lung resection: a single-center experience and review of the literature
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865565/
https://www.ncbi.nlm.nih.gov/pubmed/36676164
http://dx.doi.org/10.3390/life13010215
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