Console and bedside surgeon fused robot-assisted thoracic surgery.

Journal: General thoracic and cardiovascular surgery
PMID:

Abstract

In the last decade, even thoracic surgery has seen an increase in the use of robotic surgical systems, and robot-assisted thoracic surgery (RATS) is considered one of the main issues. While RATS is associated with solo manipulative freedom and high-definition optical systems, several disadvantages, such as the lack of tactile sensation and difficult learning curves for the whole team, have been raised. Therefore, to overcome these issues, we developed a 'fusion surgery' approach combining a robotic procedure with manual maneuvers, where the table surgeon retracts the lung and staples the pulmonary vasculature and bronchus. Herein, we introduce our 'fusion surgery' procedure and elaborate on its advantage from technical and educational perspectives.

Authors

  • Shinya Tane
    Division of Thoracic Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan. shinyatane@gmail.com.
  • Yugo Tanaka
    Division of Thoracic Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan.
  • Megumi Nishikubo
    Division of Thoracic Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan.
  • Takefumi Doi
    Division of Thoracic Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan.
  • Daisuke Hokka
    Division of Thoracic Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan.
  • Yoshimasa Maniwa
    Division of Thoracic Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan.