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https://www.readbyqxmd.com/read/29752917/robotically-assisted-transthoracic-cervical-rib-resection
#1
Elke Wybaillie, Lieven Maene, Francis Cooreman, Roel Beelen
Several different approaches to perform surgical decompression of the thoracic outlet have been described. We report a unique case of robotically-assisted transthoracic cervical rib resection for neurogenic thoracic outlet syndrome. This minimally invasive technique offers delicate tissue manipulation under optimal visualization of the thoracic outlet structures. Hence, it promotes patient safety and complete surgical decompression.
May 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29744221/how-to-get-the-best-from-robotic-thoracic-surgery
#2
REVIEW
Sara Ricciardi, Carmelina Cristina Zirafa, Federico Davini, Franca Melfi
The application of Robotic technology in thoracic surgery has become widespread in the last decades. Thanks to its advanced features, the robotic system allows to perform a broad range of complex operations safely and in a comfortable way, with valuable advantages related to low invasiveness. Regarding lung tumours, several studies have shown the benefits of robotic surgery including lower blood loss and improved lymph node removal when compared with other minimally invasive techniques. Moreover, the robotic instruments allow to reach deep and narrow spaces permitting safe and precise removal of tumours located in remote areas, such as retrosternal and posterior mediastinal spaces with outstanding postoperative and oncological results...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29733012/robotic-approach-in-benign-and-malignant-esophageal-tumors-a-preliminary-seven-case-series
#3
Victor Tomulescu, Codrut Stanescu, Cristian Blajut, Loredana Barbulescu, Gabriela Droc, Vlad Herlea, Irinel Popescu
Esophageal surgery has been recognized as very challenging for surgeons and risky for patients. Thoracoscopic approach have proved its benefit in esophageal surgery but has some drawbacks as tremor and limited degrees of freedom, contra-intuitive movements and fulcrum effect of the surgical tools. Robotic technology has been developed with the intent to overcome these limitations of the standard laparoscopy or thoracoscopy. These benefits of robotic procedure are most advantageous when operating in remote areas difficult to reach as in esophageal surgery...
March 2018: Chirurgia
https://www.readbyqxmd.com/read/29732195/the-feasibility-of-electromagnetic-navigational-bronchoscopic-localization-with-fluorescence-and-radiocontrast-dyes-for-video-assisted-thoracoscopic-surgery-resection
#4
REVIEW
Kook Nam Han, Hyun Koo Kim
Recently, some groups have reported the utilization of electromagnetic navigational bronchoscopy (ENB) for localization of pulmonary lesion. Its application for intraoperative visual localization with dyes to determine the target area has been increasing. In this paper, we reviewed the feasibility of ENB utilization for video-assisted thoracoscopic surgery (VATS) or robotic sublobar resection as a localization tool, and its future application in minimally invasive thoracic surgery.
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29707373/antero-mediastinal-retrosternal-goiter-surgical-excision-by-combined-cervical-and-hybrid-robot-assisted-approach
#5
Dario Amore, Marcellino Cicalese, Roberto Scaramuzzi, Davide Di Natale, Carlo Curcio
Most intrathoracic goiters are located in the anterior mediastinum. Surgical resection is usually recommended in case of morbidity associated with the goiter's mass effect or for suspicion of malignancy difficult to diagnose without resection. Intrathoracic goiters are usually resected through a cervical approach, with sternotomy needed in selected cases. We report a case of antero mediastinal retrosternal goiter in old age patient undergoing surgical excision by combined cervical and hybrid robot-assisted approach...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29707285/robotic-assisted-thoracic-surgery-versus-uniportal-video-assisted-thoracic-surgery-is-it-a-draw
#6
EDITORIAL
Sara Ricciardi, Carmelina Cristina Zirafa, Federico Davini, Franca Melfi
No abstract text is available yet for this article.
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29704479/robotic-assisted-versus-thoracoscopic-lobectomy-outcomes-from-high-volume-thoracic-surgeons
#7
Rishindra M Reddy, Madhu Lalitha Gorrepati, Daniel S Oh, Shilpa Mehendale, Michael F Reed
BACKGROUND: Reports of surgical outcomes comparing proficient surgeons performing either robotic-assisted or video-assisted thoracoscopic lobectomy are lacking. We evaluate the comparative effectiveness of robotic-assisted and video-assisted thoracoscopic lobectomies by surgeons who performed ≥20 annual cases in a national database. METHODS: Patients ≥18 years old, who underwent elective lobectomy by surgeons who performed ≥20 annual lobectomies by robotic-assisted or thoracoscopic approach from January 2011 through September 2015, were identified using ICD-9 codes from the Premier Healthcare database...
April 25, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29701337/the-first-24-robotic-surgeries-of-hospital-da-luz
#8
João Eurico Reis, João Santos Silva, Ana Rita Costa, Fernando Palma Martelo
INTRODUCTION: Robotic assisted thoracic surgery (RATS) has been growing all over the world, presenting itself as an improvement over video-assisted thoracic surgery (VATS). The main advantages are the precision of the movements, as well as the three-dimensional vision with the consequent perception of the depth of the surgical field. Thus, technically more difficult procedures, such as anatomic segmentectomies and bronchoplastic resections, are facilitated. This surgical approach also improves the quality of mediastinal lymph node dissection, extremely important in lung cancer patients...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29696329/first-rib-resection-for-thoracic-outlet-syndrome-the-robotic-approach
#9
Gregor J Kocher, Adrian Zehnder, Jon A Lutz, Juerg Schmidli, Ralph A Schmid
OBJECTIVE: First rib resection is a well-recognized treatment option for thoracic outlet syndrome (TOS). In case of a vascular insufficiency that can be provoked and/or progressive neurologic symptoms without response to conservative treatment, surgical decompression of the space between the clavicle and the first rib is indicated. The aim of this paper is to present our experience with a new minimally invasive robotic approach using the da Vinci Surgical System®. METHODS: Between January 2015 and October 2017, eight consecutive first rib resections in seven patients were performed at our institution...
April 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29688940/robotic-beating-heart-totally-endoscopic-coronary-artery-bypass-in-higher-risk-patients-can-it-be-done-safely
#10
Husam H Balkhy, Sarah Nisivaco, Hiroto Kitahara, Mackenzie McCrorey, Brooke Patel
OBJECTIVE: Patients with a high Society of Thoracic Surgeons (STS) predicted risk of mortality undergoing coronary artery bypass surgery are known to have worse outcomes. Less invasive approaches have been shown to improve morbidity and mortality for these patients. In this study, we examined perioperative outcomes in higher-risk patients undergoing robotic totally endoscopic beating heart coronary artery bypass surgery. METHODS: The STS predicted risk of mortality was reviewed for patients undergoing robotic totally endoscopic beating heart coronary artery bypass surgery at our institution between January 2013 and May 2017...
March 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29625502/effectiveness-of-robotic-lobectomy-outcome-and-learning-curve-in-a-high-volume-center
#11
Danjouma Housmanou Cheufou, Khaled Mardanzai, Till Ploenes, Dirk Theegarten, Georgios Stamatis, Sandra Kampe, Clemens Aigner
BACKGROUND:  Robotic surgery has been developed as a sophisticated tool to expand possibilities in minimal invasive surgery. The learning curve for this method is short in various surgical fields; however, limited data exist on the learning curve in robotic thoracic surgery. METHODS:  This study analyzes a single center experience of robotic lobectomies using a prospectively kept database. Perioperative data and outcome of patients during the learning curve were compared with patients operated with increased institutional experience...
April 6, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29607150/robotic-surgery-video-assisted-thoracic-surgery-and-open-surgery-for-early-stage-lung-cancer-comparison-of-costs-and-outcomes-at-a-single-institute
#12
Pierluigi Novellis, Edoardo Bottoni, Emanuele Voulaz, Umberto Cariboni, Alberto Testori, Luca Bertolaccini, Laura Giordano, Elisa Dieci, Lorenzo Granato, Elena Vanni, Marco Montorsi, Marco Alloisio, Giulia Veronesi
Background: Robotic surgery is increasingly used to resect lung cancer. However costs are high. We compared costs and outcomes for robotic surgery, video-assisted thoracic surgery (VATS), and open surgery, to treat non-small cell lung cancer (NSCLC). Methods: We retrospectively assessed 103 consecutive patients given lobectomy or segmentectomy for clinical stage I or II NSCLC. Three surgeons could choose VATS or open, the fourth could choose between all three techniques...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29605962/ten-years-experience-in-robotic-assisted-thoracic-surgery-for-early-stage-lung-cancer
#13
Monica Casiraghi, Domenico Galetta, Alessandro Borri, Adele Tessitore, Rosalia Romano, Cristina Diotti, Daniela Brambilla, Patrick Maisonneuve, Lorenzo Spaggiari
BACKGROUND:  This study analyzed the short- and long-term outcomes of robotic-assisted thoracic surgery (RATS) for early stage non-small cell lung cancer (NSCLC). METHODS:  From November 2006 to December 2016, we performed 363 RATS procedures. This study retrospectively reviewed 339 patients who underwent RATS for clinical stages I ( n  = 318) or II ( n  = 21) NSCLC. RESULTS:  Twenty-nine patients underwent segmentectomy, 307 lobectomy, and 3 pneumonectomy...
April 1, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29600082/four-arms-robotic-assisted-pulmonary-resection-right-lower-middle-lobectomy-how-to-do-it
#14
Alessandro Pardolesi, Luca Bertolaccini, Jury Brandolini, Filippo Tommaso Gallina, Pierluigi Novellis, Giulia Veronesi, Piergiorgio Solli
In the last few years, robotic approach for anatomic lung resection has brought an innovative development in minimally invasive thoracic surgery. This study analyzes the technical aspects of performing the hilar dissection for a lobectomy via robotic approach. With a detailed step-by-step description and essential tips and videos, in this paper, we report the procedure to carry out a four-arm robotic middle and lower lobectomy.
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29600049/three-dimensional-computed-tomography-reconstruction-for-operative-planning-in-robotic-segmentectomy-a-pilot-study
#15
Julien Le Moal, Christophe Peillon, Jean-Nicolas Dacher, Jean-Marc Baste
Background: The objective of our pilot study was to assess if three-dimensional (3D) reconstruction performed by Visible Patient™ could be helpful for the operative planning, efficiency and safety of robot-assisted segmentectomy. Methods: Between 2014 and 2015, 3D reconstructions were provided by the Visible Patient™ online service and used for the operative planning of robotic segmentectomy. To obtain 3D reconstruction, the surgeon uploaded the anonymized computed tomography (CT) image of the patient to the secured Visible Patient™ server and then downloaded the model after completion...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29593925/hybrid-assistive-limb-intervention-in-a-patient-with-late-neurological-deterioration-after-thoracic-myelopathy-surgery-due-to-ossification-of-the-ligamentum-flavum
#16
Masakazu Taketomi, Yukiyo Shimizu, Hideki Kadone, Shigeki Kubota, Tetsuya Abe, Aiki Marushima, Tomoyuki Ueno, Ayumu Endo, Hiroaki Kawamoto, Akira Matsumura, Yoshiyuki Sankai, Yasushi Hada, Masashi Yamazaki
Purpose: We evaluated improvements in gait after using the Hybrid Assistive Limb (HAL®) exoskeleton robot in a patient with late-onset neurological deterioration of lower extremity function after undergoing thoracic spine surgery for a myelopathy due to ossification of the ligamentum flavum. Case Presentation: A 70-year-old man participated in ten 20 min sessions of HAL intervention, twice weekly for five weeks. The effects of each HAL session were evaluated based on changes in performance on the 10 m walk test (10 MWT), lower limb kinematics quantified from motion capture, and the activation ratio of the gastrocnemius, measured before and after the intervention...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29587944/-robotic-assisted-thoracic-surgery-is-expected-to-be-feasible-for-widely-utility-in-thoracic-disease
#17
Zhentao Yu
No abstract text is available yet for this article.
March 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29587943/-a-paired-case-controlled-study-comparing-the-short-term-outcomes-of-da-vinci-rats-and-vats-approach-for-non-small-cell-lung-cancer
#18
Feng Dai, Shiguang Xu, Wei Xu, Renquan Ding, Bo Liu, Hao Meng, Yunteng Kang, Xiangrui Meng, Jie Lin, Shumin Wang
BACKGROUND: Da Vinci Surgical System is one of the greatest inventions of the 20th century, which represents the development direction of the precise minimally invasive surgical techniques, the aim of this study was to comparing the short-term outcomes between da Vinci robot-assisted lobectomy and video-assisted thoracic surgery (VATS) lobectomy for non-small cell lung cancer. METHODS: 45 pairs of non-small cell lung cancer patients underwent pulmonary lobectomy with da Vinci Robotic assisted thoracoscopic (RATS) and VATS approach during the same period from January 2014 to January 2017...
March 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29587934/-reflection-on-the-biological-significance-of-minimally-invasive-surgery-for-lung-cancer
#19
Qingquan Luo, Jia Huang
Minimal invasive surgery with short operation time and enhanced recovery after surgery can truly achieve biological minimal invasiveness. The minimal invasive lung cancer surgery includes several kinds, such as uni-portal video-assisted thoracoscopic surgery (VATS) and multi-portal VATS. Robotic-assisted thoracic surgery (RATS) can be categorized into multi-portal VATS. As a frontier technology of minimal invasive surgical technique, surgical robotic system has been broadly applied in many areas. The average RATS operation time is (91...
March 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29581681/robot-assisted-mckeown-esophagectomy-is-feasible-after-neoadjuvant-chemoradiation-our-initial-experience
#20
Ashish Goel, Swati H Shah, Veda Padma Priya Selvakumar, Shubha Garg, Kapil Kumar
Neoadjuvant chemoradiation has become the standard of care for esophageal cancer, especially for middle third esophageal lesions and those with squamous histology. Although more and more thoracic surgeons and surgical oncologists have now shifted to video-assisted and robot-assisted thoracoscopic esophagectomy; there is still limited experience for the use of minimal-assisted approaches in patients undergoing surgery after neoadjuvant chemoradiation. Most surgeons have concerns of feasibility, safety, and oncological outcomes as well as issues related to difficult learning curve in adopting robotic esophagectomy in patients after chemoradiation...
February 2018: Indian Journal of Surgery
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