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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-9914746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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