Uniportal pure robotic-assisted thoracic surgery-technical aspects, tips and tricks.

Autor:	Gonzalez-Rivas D; Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.; Department of Thoracic Surgery, Policlinico di Monza, Oncology Hospital Monza, Bucharest, Romania., Manolache V; Department of Thoracic Surgery, Policlinico di Monza, Oncology Hospital Monza, Bucharest, Romania.; University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania., Bosinceanu ML; Department of Thoracic Surgery, Policlinico di Monza, Oncology Hospital Monza, Bucharest, Romania., Gallego-Poveda J; Department of Cardio-Thoracic Surgery, Lusiadas Hospital, Lisbon, Portugal., Garcia-Perez A; Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain., de la Torre M; Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain., Turna A; Department of Thoracic Surgery, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey., Motas N; Department of Thoracic Surgery, Policlinico di Monza, Oncology Hospital Monza, Bucharest, Romania.; University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.; Department of Thoracic Surgery, Institute of Oncology 'Prof. Dr. Al. Trestioreanu', Bucharest, Romania.
Jazyk:	angličtina
Zdroj:	Annals of translational medicine [Ann Transl Med] 2023 Aug 30; Vol. 11 (10), pp. 362. Date of Electronic Publication: 2022 Jun 24.
DOI:	10.21037/atm-22-1866
Abstrakt:	The uniportal access for robotic thoracic surgery presents itself as a natural evolution of minimally invasive thoracic surgery (MITS). It was developed by surgeons who pioneered the uniportal video-assisted thoracic surgery (U-VATS) in all its aspects following the same principles of a single incision by using robotic technology. The robotic surgery was initially started as a hybrid procedure with the use of thoracoscopic staplers by the assistant. However, due to the evolution of robotic modern platforms, the staplers can be nowadays controlled by the main surgeon from the console. The pure uniportal robotic-assisted thoracic surgery (U-RATS) is defined as the robotic thoracic surgery performed through a single intercostal (ic) incision, without rib spreading, using the robotic camera, robotic dissecting instruments and robotic staplers. There are presented the advantages, difficulties, the general aspects and specific considerations for U-RATS. For safety reasons, the authors recommend the transition from multiportal-RATS through biportal-RATS to U-RATS. The use of robotic dissection and staplers through a single incision and the rapid undocking with easy emergent conversion when needed (either to U-VATS or to thoracotomy) are safety advantages over multi-port RATS that cannot be overlooked, offering great comfort to the surgeon and quick and smooth recovery to the patient. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://atm.amegroups.com/article/view/10.21037/atm-22-1866/coif). The series “Lung Cancer Management—The Next Decade” was commissioned by the editorial office without any funding or sponsorship. The authors have no other conflicts of interest to declare. (2023 Annals of Translational Medicine. All rights reserved.)
Databáze:	MEDLINE
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