The Anterolateral Approach in Robotic Lung Cancer Surgery

Publication date: Available online 14 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Chang Hyun KangAbstractThe anterolateral approach in robotic lung cancer surgery was developed for the purpose of more efficient port placement by removing the posterior port, decreasing the total number of ports, securing enough distance between the robotic arms. Using this approach, four ports are made in the anterolateral area of the patient and the robot can be docked from an anterolateral direction. By using this port placement, the assistant surgeon’s role can be minimized and solo surgery is possible using the robotic procedure. An anterolateral approach can be considered as a useful port placement method in robotic lung cancer surgery.The robotic surgical system was developed to improve the outcomes of minimally-invasive surgery. Improved vision and fine control of the robotic arms are the main advantages of robotic surgery. However, robotic systems possess many different features compared to video-assisted thoracic surgery (VATS). Although several common features are shared with VATS, many other features are unique in the robotic system. Therefore, different approaches and techniques should be considered for robotic operations. To maximize the advantages of robotic surgery, proper port placement is the first step to successful surgery.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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Publication date: Available online 14 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ruochuan Zang, Ju-Fang Shi, Toni E. Lerut, Le Wang, Chia-Chuan Liu, Alessandro Brunelli, René Horsleben Petersen, Calvin Sze Hang Ng, Eric Lim, Shugeng Gao, AME Thoracic Surgery Collaborate GroupAbstractBackgroundLung cancer has changed significantly during the past two decades in its epidemiology and treatment. We conducted a retrospective analysis using data from seven major areas of China over ten years to evaluate clinicopathologic and surgical treatment trends of lung cancer in China during the past decadeMethod...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionsOpioid dependence in the over 65-year old population after lung resection is high but was significantly lower among those who received minimally invasive surgery, in addition to other factors.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
CONCLUSIONS: Opioid dependence in the over 65-year old population after lung resection is high but was significantly lower among those who received minimally invasive surgery, in addition to other factors. PMID: 31445908 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Abstract The anterolateral approach in robotic lung cancer surgery was developed for the purpose of more efficient port placement by removing the posterior port, decreasing the total number of ports, securing enough distance between the robotic arms. Using this approach, four ports are made in the anterolateral area of the patient and the robot can be docked from an anterolateral direction. By using this port placement, the assistant surgeon's role can be minimized and solo surgery is possible using the robotic procedure. An anterolateral approach can be considered as a useful port placement method in robotic lung...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Publication date: August 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 2Author(s): David B. Nelson, Reza J. Mehran, Kyle G. Mitchell, Ravi Rajaram, Arlene M. Correa, Roland L. Bassett, Mara B. Antonoff, Wayne L. Hofstetter, Jack A. Roth, Boris Sepesi, Stephen G. Swisher, Garrett L. Walsh, Ara A. Vaporciyan, David C. RiceBackgroundIt is unclear whether the enhanced dexterity and visualization of the surgical robot lessens morbidity and influences staging or survival. We compared outcomes of robotic-assisted lobectomy (RAL) with thoracoscopic video-assisted lobectomy (VAL) or open lobectomy (OL) of non-small ...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Authors: Ujiie H, Gregor A, Yasufuku K Abstract INTRODUCTION: Surgery is the standard of care for early-stage non-small cell lung cancer (NSCLC), but there remains on an ongoing discussion as to what is the best surgical approach. Despite only modest adoption of minimally invasive surgery (MIS), it is now the favored approach over traditional open surgery. MIS techniques like video-assisted (VATS) and robot-assisted thoracoscopic surgery (RATS) have been demonstrated to reduce postoperative complications and shorten the length of hospitalization. Furthermore, despite unresolved questions of the oncological equivale...
Source: Expert Review of Respiratory Medicine - Category: Respiratory Medicine Tags: Expert Rev Respir Med Source Type: research
Authors: Phillips JD, Bostock IC, Hasson RM, Goodney PP, Goodman DC, Millington TM, Finley DJ Abstract Background: Video-assisted thoracoscopic surgery (VATS) has been established as a safe and effective alternative to an open approach for the treatment of early-stage lung cancer. Despite this, differences in utilization across the nation are present. The aims of this study were to: (I) characterize trends in the use of open surgery and VATS for the management of lung cancer across the United States, and (II) describe if particular regions of the country utilize minimally invasive surgery more frequently. Metho...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Novel protocols aimed to increase the efficacy and tolerability of non –small cell lung cancer (NSCLC) resections now expand well beyond minimally invasive incisions and extend throughout the perioperative period. Enhanced recovery protocols (ERPs) are revolutionizing surgical care. The European Society of Thoracic Surgeons and Enhanced Recovery After Surgery Society recently published Enhanced Recovery After Surgery recommendations1 that include evidence-based care recommendations throughout the perioperative experience, emphasizing smoking cessation, minimally invasive surgery, decreased fasting, opioid-sparing ana...
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Commentary Source Type: research
Publication date: Available online 18 April 2019Source: The Annals of Thoracic SurgeryAuthor(s): David B. Nelson, Reza J. Mehran, Kyle G. Mitchell, Ravi Rajaram, Arlene M. Correa, Roland L. Bassett, Mara B. Antonoff, Wayne L. Hofstetter, Jack A. Roth, Boris Sepesi, Stephen G. Swisher, Garrett L. Walsh, Ara A. Vaporciyan, David C. RiceAbstractBackgroundIt is unclear whether the enhanced dexterity and visualization of the surgical robot lessens morbidity and influences staging or survival. We compared outcomes of robotic-assisted lobectomy (RAL) with thoracoscopic (VAL) or open lobectomy (OL) of non-small cell lung cancer (N...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Abstract BACKGROUND: It is unclear whether the enhanced dexterity and visualization of the surgical robot lessens morbidity and influences staging or survival. We compared outcomes of robotic-assisted lobectomy (RAL) with thoracoscopic (VAL) or open lobectomy (OL) of non-small cell lung cancer (NSCLC). METHODS: Using a prospective surgical database, perioperative and cancer related outcomes of patients who received a lobectomy for NSCLC from 2011-2017 were analyzed. Outcomes between each surgical approach were compared using inverse probability of treatment weighting (IPTW) generated from the inverse of the p...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
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