Analysis of initial results of robotic surgery for general thoracic surgery
Robotic surgery for general thoracic surgery is still basic. We performed 25 cases of robotic surgery using the da Vinci S robotic system (Intuitive Surgical Inc., CA, USA), and obtained favorable results in our hospital for a year from January 2011. Operative procedures for 14 cases of primary lung...
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| Published in | Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 26; no. 7; pp. 704 - 712 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Association for Chest Surgery
2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0919-0945 1881-4158 |
| DOI | 10.2995/jacsurg.26.704 |
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| Abstract | Robotic surgery for general thoracic surgery is still basic. We performed 25 cases of robotic surgery using the da Vinci S robotic system (Intuitive Surgical Inc., CA, USA), and obtained favorable results in our hospital for a year from January 2011. Operative procedures for 14 cases of primary lung cancer comprised 5 right upper lobectomies, including: 1 wedge bronchoplasty, 3 right middle lobectomies including 1 combined partial resection of the upper lobe, 2 right lower lobectomies, 3 left upper lobectomies, and 1 left basal segmentectomy. The mean operative time was 323.1 minutes (console time: 245.7 minutes) and the amount of bleeding was 92.1 ml. There were two postoperative complications: atrial fibrillation and acute cholecystitis. Eleven thymectomies were performed. There were 5 cases of myasthenia gravis (2 with thymoma), 2 of thymoma, 2 of Castleman disease, 1 of teratoma, and 1 thymic cyst. The mean operative time was 207.4 minutes (console time: 148.5 minutes), and the amount of bleeding was 9.8 ml. Postoperatively, one chylothorax occurred in a case of extended thymectomy for myasthenia gravis with invasive thymoma. The advantages of robotic surgery were excellent visualization using the three-dimensional scope and accurate manipulation by robotic forceps with articulation. The early establishment of robotic surgery as an optional technique for general thoracic surgery is expected. |
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| AbstractList | Robotic surgery for general thoracic surgery is still basic. We performed 25 cases of robotic surgery using the da Vinci S robotic system (Intuitive Surgical Inc., CA, USA), and obtained favorable results in our hospital for a year from January 2011. Operative procedures for 14 cases of primary lung cancer comprised 5 right upper lobectomies, including: 1 wedge bronchoplasty, 3 right middle lobectomies including 1 combined partial resection of the upper lobe, 2 right lower lobectomies, 3 left upper lobectomies, and 1 left basal segmentectomy. The mean operative time was 323.1 minutes (console time: 245.7 minutes) and the amount of bleeding was 92.1 ml. There were two postoperative complications: atrial fibrillation and acute cholecystitis. Eleven thymectomies were performed. There were 5 cases of myasthenia gravis (2 with thymoma), 2 of thymoma, 2 of Castleman disease, 1 of teratoma, and 1 thymic cyst. The mean operative time was 207.4 minutes (console time: 148.5 minutes), and the amount of bleeding was 9.8 ml. Postoperatively, one chylothorax occurred in a case of extended thymectomy for myasthenia gravis with invasive thymoma. The advantages of robotic surgery were excellent visualization using the three-dimensional scope and accurate manipulation by robotic forceps with articulation. The early establishment of robotic surgery as an optional technique for general thoracic surgery is expected. |
| Author | Ohno, Takashi Miwa, Ken Kubouchi, Yasuaki Nakamura, Hiroshige Haruki, Tomohiro Taniguchi, Yuji Takagi, Yuzo Araki, Kunio Matsuoka, Yuki Fujioka, Shinji |
| Author_xml | – sequence: 1 fullname: Haruki, Tomohiro organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Matsuoka, Yuki organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Ohno, Takashi organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Fujioka, Shinji organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Kubouchi, Yasuaki organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Nakamura, Hiroshige organization: Center of Minimally Invasive Surgery, Tottori University Hospital – sequence: 1 fullname: Takagi, Yuzo organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Araki, Kunio organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Taniguchi, Yuji organization: Division of General Thoracic Surgery, Tottori University Hospital – sequence: 1 fullname: Miwa, Ken organization: Division of General Thoracic Surgery, Tottori University Hospital |
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| Cites_doi | 10.1510/icvts.2010.239541 10.1016/j.ejcts.2010.01.047 10.1016/j.ejcts.2006.12.016 10.1016/j.athoracsur.2009.04.039 10.1510/icvts.2009.202531 10.1016/j.athoracsur.2007.11.079 10.1007/s00464-010-1138-3 10.1016/j.jtcvs.2005.07.031 10.1016/S1010-7940(02)00102-1 10.1067/mtc.2001.115231 10.1016/j.jtcvs.2011.10.055 10.1016/j.athoracsur.2005.08.030 |
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| References | 20. Kajiwara N, Taira M, Yoshida K, Hagiwara M, Kakihana M, Usuda J, et al. Early experience using the da Vinci Surgical System for the treatment of mediastinal tumors. Gen Thorac Cardiovasc Surg 2011; 59: 693-8. 5. Park BJ, Flores RM, Rusch VW. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg 2006; 131: 54-9. 15. Fleck T, Fleck M, Müller M, Hager H, Klepetko W, Wolner E, et al. Extended videoscopic robotic thymectomy with the da Vinci telemanipulator for the treatment of myasthenia gravis: the Vienna experience. Interact Cardiovasc Thorac Surg 2009; 9: 784-7. 13. Cakar F, Werner P, Augustin F, Schmid T, Wolf-Magele A, Sieb M, et al. A comparison of outcomes after robotic open extended thymectomy for myasthenia gravis. Eur J Cardiothorac Surg 2007; 31: 501-5. 12. Rea F, Marulli G, Bortolotti L, Feltracco P, Zuin A, Sartori F. Experience with the "da Vinci" robotic system for thymectomy in patients with myasthenia gravis: report of 33 cases. Ann Thorac Surg 2006; 81: 455-9. 2. Melfi FM, Menconi GF, Mariani AM, Angeletti CA. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg 2002; 21: 864-8. 6. Gharagozloo F, Margolis M, Tempesta B, Strother E, Najam F. Robot-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases. Ann Thorac Surg 2009; 88: 380-4. 18. Nakamura H, Taniguchi Y, Fujioka S, Miwa K, Haruki T, Takagi Y, et al. First experience of robotic extended thymectomy in Japan for myasthenia gravis with thymoma. Gen Thorac Cardiovasc Surg 2012; 60: 183-7. 9. Ninan M, Dylewski MR. Total port-access robot assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg 2010; 38: 231-2. 10. Augustin F, Bodner J, Wykypiel H, Schwinghammer C, Schmid T. Initial experience with robotic lung lobectomy: report of two different approaches. Surg Endosc 2011; 25: 108-13. 17. Rückert JC, Swierzy M, Ismail M. Comparison of robotic and nonrobotic thoracoscopic thymectomy: A cohort study. J Thorac Cardiovasc Surg 2011; 141: 673-7. 19. Yoshino I, Hashizume M, Shimada M, Tomikawa M, Tomiyasu M, Suemitsu R, et al. Thoracoscopic thymomectomy with the da Vinci computer-enhanced surgical system. J Thorac Cardiovasc Surg 2001; 122: 783-5. 16. Goldstein SD, Yang SC. Assessment of robotic thymectomy using the Myasthenia Gravis Foundation of America Guidelines. Ann Thorac Surg 2010; 89: 1080-6. 4. Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg 2011; 142: 740-6. 7. Veronesi G, Galetta D, Maisonneuve P, Melfi F, Schmid RA, Borri A, et al. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc Surg 2010; 140: 19-25. 8. Giulianotti PC, Buchs NC, Caravaglios G, Bianco FM. Robot-assisted lung resection: outcomes and technical details. Interact Cardiovasc Thorac Surg 2010; 11: 388-92. 3. 須田 隆, 杉村 裕志, 北村 由香, 栃井 祥子, 服部 良信. 肺癌に対するロボット支援手術の経験-ダヴィンチロボット支援肺癌手術本邦第1例-. 日呼外会誌 2010; 24: 727-32. 11. Park BJ, Melfi F, Mussi A, Maisonneuve P, Spaggiari L, Da Silva RK, et al. Robotic lobectomy for non-small cell lung cancer (NSCLC): Long-term oncologic results. J Thorac Cardiovasc Surg 2012; 143: 383-9. 1. 中村 廣繁, 谷口 雄司. ロボット手術の実際 呼吸器外科. 鳥取大学医学部附属病院低侵襲外科センター編. ロボット手術マニュアル. 東京: メジカルビュー社; 2012; 94-113. 14. Augustin F, Schmid T, Sieb M, Lucciarini P, Bodner J. Video-assisted thoracoscopic surgery versus robotic-assisted thoracoscopic surgery thymectomy. Ann Thorac Surg 2008; 85: S768-71. 11 12 13 14 1 2 3 4 5 6 7 8 9 10 |
| References_xml | – reference: 7. Veronesi G, Galetta D, Maisonneuve P, Melfi F, Schmid RA, Borri A, et al. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc Surg 2010; 140: 19-25. – reference: 9. Ninan M, Dylewski MR. Total port-access robot assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg 2010; 38: 231-2. – reference: 13. Cakar F, Werner P, Augustin F, Schmid T, Wolf-Magele A, Sieb M, et al. A comparison of outcomes after robotic open extended thymectomy for myasthenia gravis. Eur J Cardiothorac Surg 2007; 31: 501-5. – reference: 20. Kajiwara N, Taira M, Yoshida K, Hagiwara M, Kakihana M, Usuda J, et al. Early experience using the da Vinci Surgical System for the treatment of mediastinal tumors. Gen Thorac Cardiovasc Surg 2011; 59: 693-8. – reference: 2. Melfi FM, Menconi GF, Mariani AM, Angeletti CA. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg 2002; 21: 864-8. – reference: 17. Rückert JC, Swierzy M, Ismail M. Comparison of robotic and nonrobotic thoracoscopic thymectomy: A cohort study. J Thorac Cardiovasc Surg 2011; 141: 673-7. – reference: 15. Fleck T, Fleck M, Müller M, Hager H, Klepetko W, Wolner E, et al. Extended videoscopic robotic thymectomy with the da Vinci telemanipulator for the treatment of myasthenia gravis: the Vienna experience. Interact Cardiovasc Thorac Surg 2009; 9: 784-7. – reference: 5. Park BJ, Flores RM, Rusch VW. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg 2006; 131: 54-9. – reference: 12. Rea F, Marulli G, Bortolotti L, Feltracco P, Zuin A, Sartori F. Experience with the "da Vinci" robotic system for thymectomy in patients with myasthenia gravis: report of 33 cases. Ann Thorac Surg 2006; 81: 455-9. – reference: 8. Giulianotti PC, Buchs NC, Caravaglios G, Bianco FM. Robot-assisted lung resection: outcomes and technical details. Interact Cardiovasc Thorac Surg 2010; 11: 388-92. – reference: 14. Augustin F, Schmid T, Sieb M, Lucciarini P, Bodner J. Video-assisted thoracoscopic surgery versus robotic-assisted thoracoscopic surgery thymectomy. Ann Thorac Surg 2008; 85: S768-71. – reference: 6. Gharagozloo F, Margolis M, Tempesta B, Strother E, Najam F. Robot-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases. Ann Thorac Surg 2009; 88: 380-4. – reference: 10. Augustin F, Bodner J, Wykypiel H, Schwinghammer C, Schmid T. Initial experience with robotic lung lobectomy: report of two different approaches. Surg Endosc 2011; 25: 108-13. – reference: 1. 中村 廣繁, 谷口 雄司. ロボット手術の実際 呼吸器外科. 鳥取大学医学部附属病院低侵襲外科センター編. ロボット手術マニュアル. 東京: メジカルビュー社; 2012; 94-113. – reference: 11. Park BJ, Melfi F, Mussi A, Maisonneuve P, Spaggiari L, Da Silva RK, et al. Robotic lobectomy for non-small cell lung cancer (NSCLC): Long-term oncologic results. J Thorac Cardiovasc Surg 2012; 143: 383-9. – reference: 19. Yoshino I, Hashizume M, Shimada M, Tomikawa M, Tomiyasu M, Suemitsu R, et al. Thoracoscopic thymomectomy with the da Vinci computer-enhanced surgical system. J Thorac Cardiovasc Surg 2001; 122: 783-5. – reference: 18. Nakamura H, Taniguchi Y, Fujioka S, Miwa K, Haruki T, Takagi Y, et al. First experience of robotic extended thymectomy in Japan for myasthenia gravis with thymoma. Gen Thorac Cardiovasc Surg 2012; 60: 183-7. – reference: 16. Goldstein SD, Yang SC. Assessment of robotic thymectomy using the Myasthenia Gravis Foundation of America Guidelines. Ann Thorac Surg 2010; 89: 1080-6. – reference: 3. 須田 隆, 杉村 裕志, 北村 由香, 栃井 祥子, 服部 良信. 肺癌に対するロボット支援手術の経験-ダヴィンチロボット支援肺癌手術本邦第1例-. 日呼外会誌 2010; 24: 727-32. – reference: 4. Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg 2011; 142: 740-6. – ident: 3 – ident: 6 doi: 10.1510/icvts.2010.239541 – ident: 1 – ident: 7 doi: 10.1016/j.ejcts.2010.01.047 – ident: 11 doi: 10.1016/j.ejcts.2006.12.016 – ident: 5 doi: 10.1016/j.athoracsur.2009.04.039 – ident: 13 doi: 10.1510/icvts.2009.202531 – ident: 12 doi: 10.1016/j.athoracsur.2007.11.079 – ident: 8 doi: 10.1007/s00464-010-1138-3 – ident: 4 doi: 10.1016/j.jtcvs.2005.07.031 – ident: 2 doi: 10.1016/S1010-7940(02)00102-1 – ident: 14 doi: 10.1067/mtc.2001.115231 – ident: 9 doi: 10.1016/j.jtcvs.2011.10.055 – ident: 10 doi: 10.1016/j.athoracsur.2005.08.030 |
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| Title | Analysis of initial results of robotic surgery for general thoracic surgery |
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