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A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System

Despite the recent introduction of technologically advanced single-port (SP) robotic systems, their use in the field of thoracic surgery has been rarely explored. Here, we report our preclinical experience concerning SP robotic thoracic surgery using the da Vinci(®) SP system. The da Vinci(®) SP sys...

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Autores principales: Wu, Ching Feng, Cheng, Chuan, Suen, Ka Hei, Stein, Hubert, Chao, Yin Kai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914746/
https://www.ncbi.nlm.nih.gov/pubmed/36766565
http://dx.doi.org/10.3390/diagnostics13030460
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author Wu, Ching Feng
Cheng, Chuan
Suen, Ka Hei
Stein, Hubert
Chao, Yin Kai
author_facet Wu, Ching Feng
Cheng, Chuan
Suen, Ka Hei
Stein, Hubert
Chao, Yin Kai
author_sort Wu, Ching Feng
collection PubMed
description Despite the recent introduction of technologically advanced single-port (SP) robotic systems, their use in the field of thoracic surgery has been rarely explored. Here, we report our preclinical experience concerning SP robotic thoracic surgery using the da Vinci(®) SP system. The da Vinci(®) SP system was used to perform subcostal anatomical lung resection and subxiphoid thymectomy in three cadavers. The operative settings that best met the surgeon’s requirements for each resection were also determined. Four subcostal anatomical lung resections and two subxiphoid thymectomies were completed. While both procedures did not require additional incisions, the use of an observation port in the intercostal spaces was strongly recommended to safely create subcostal access. Dissection of hilar structures and mediastinal lymph nodes was feasible. However, due to the current unavailability of a robotic stapler, a handheld stapling instrument was required to perform a transection of vital structures. When the stapling process proved to be difficult, the table surgeon temporarily removed a robotic arm to acquire the necessary space to complete the procedure. Our data represent a promising preclinical step in understanding the feasibility of using the da Vinci(®) SP system to perform an SP subcostal anatomical lung resection and a subxiphoid thymectomy.
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spelling pubmed-99147462023-02-11 A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System Wu, Ching Feng Cheng, Chuan Suen, Ka Hei Stein, Hubert Chao, Yin Kai Diagnostics (Basel) Article Despite the recent introduction of technologically advanced single-port (SP) robotic systems, their use in the field of thoracic surgery has been rarely explored. Here, we report our preclinical experience concerning SP robotic thoracic surgery using the da Vinci(®) SP system. The da Vinci(®) SP system was used to perform subcostal anatomical lung resection and subxiphoid thymectomy in three cadavers. The operative settings that best met the surgeon’s requirements for each resection were also determined. Four subcostal anatomical lung resections and two subxiphoid thymectomies were completed. While both procedures did not require additional incisions, the use of an observation port in the intercostal spaces was strongly recommended to safely create subcostal access. Dissection of hilar structures and mediastinal lymph nodes was feasible. However, due to the current unavailability of a robotic stapler, a handheld stapling instrument was required to perform a transection of vital structures. When the stapling process proved to be difficult, the table surgeon temporarily removed a robotic arm to acquire the necessary space to complete the procedure. Our data represent a promising preclinical step in understanding the feasibility of using the da Vinci(®) SP system to perform an SP subcostal anatomical lung resection and a subxiphoid thymectomy. MDPI 2023-01-26 /pmc/articles/PMC9914746/ /pubmed/36766565 http://dx.doi.org/10.3390/diagnostics13030460 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
Wu, Ching Feng
Cheng, Chuan
Suen, Ka Hei
Stein, Hubert
Chao, Yin Kai
A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System
title A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System
title_full A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System
title_fullStr A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System
title_full_unstemmed A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System
title_short A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci(®) SP System
title_sort preclinical feasibility study of single-port robotic subcostal anatomical lung resection and subxiphoid thymectomy using the da vinci(®) sp system
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914746/
https://www.ncbi.nlm.nih.gov/pubmed/36766565
http://dx.doi.org/10.3390/diagnostics13030460
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