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Robotic Surgery Devices in Lobectomy for Lung Malignancies with the da Vinci Xi Surgical System

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Robotic Surgery Devices in Surgical Specialties

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Abstract

Robotic surgery, like video-assisted thoracic surgery, has become a well-established minimally invasive technique in surgery of the lung. The approach is safe and effective and widely used for resection of lung malignancies, bronchial reconstruction, and chest wall resection and reconstruction. Robotic surgery provides several advantages, including high-definition stereoscopic visualization, improved surgical dexterity, removal of physiologic tremor, reduction of fulcrum effect, and greater surgeon comfort. The da Vinci Xi surgical system (Intuitive Surgical Inc., Sunnyvale, CA, USA) utilizes four surgical arms (a camera arm and three working arms), which enables solo surgery. This chapter provides an overview of the robotic devices currently available for use with the da Vinci Xi surgical system. Further advances in robotic technology will increase utilization of minimally invasive thoracic surgery and increase quality of care.

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Abbreviations

HD:

High-definition

ICG:

Indocyanine green

RATS:

Robot-assisted thoracic surgery

VATS:

Video-assisted thoracic surgery

References

  1. Kent M, Wang T, Whyte R, Curran T, Flores R, Gangadharan S. Open, video-assisted thoracic surgery, and robotic lobectomy: review of a national database. Ann Thorac Surg. 2014;97:236–42; discussion 242–4.

    Article  PubMed  Google Scholar 

  2. Li JT, Liu PY, Huang J, Lu PJ, Lin H, Zhou QJ, et al. Perioperative outcomes of radical lobectomies using robotic-assisted thoracoscopic technique vs. video-assisted thoracoscopic technique: retrospective study of 1,075 consecutive p-stage I non-small cell lung cancer cases. J Thorac Dis. 2019;11:882–91. https://doi.org/10.21037/jtd.2019.01.78.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Liang H, Liang W, Zhao L, Chen D, Zhang J, Zhang Y, et al. Robotic versus video-assisted lobectomy/segmentectomy for lung cancer: a meta-analysis. Ann Surg. 2018;268:254–9. https://doi.org/10.1097/SLA.0000000000002346.

    Article  PubMed  Google Scholar 

  4. Cerfolio RJ, Ghanim AF, Dylewski M, Veronesi G, Spaggiari L, Park BJ. The long-term survival of robotic lobectomy for non-small cell lung cancer: a multi-institutional study. J Thorac Cardiovasc Surg. 2018;155:778–86. https://doi.org/10.1016/j.jtcvs.2017.09.016.

    Article  PubMed  Google Scholar 

  5. Zhang Y, Chen C, Hu J, Han Y, Huang M, et al. Early outcomes of robotic versus thoracoscopic segmentectomy for early-stage lung cancer: a multi-institutional propensity score-matched analysis. J Thorac Cardiovasc Surg. 2020;160:1363–72. https://doi.org/10.1016/j.jtcvs.2019.12.112.

    Article  PubMed  Google Scholar 

  6. Qiu T, Zhao Y, Xuan Y, Qin Y, Niu Z, Shen Y, et al. Robotic sleeve lobectomy for centrally located non-small cell lung cancer: a propensity score-weighted comparison with thoracoscopic and open surgery. J Thorac Cardiovasc Surg. 2020;160:838–846.e2. https://doi.org/10.1016/j.jtcvs.2019.10.158.

    Article  PubMed  Google Scholar 

  7. Veronesi G, Novellis P, Bottoni E, Alloisio M. Robotic lobectomy: right upper lobectomy. Oper Tech Thorac Cardiovasc Surg. 2017;21:249–68.

    Article  Google Scholar 

  8. Terra RM, Leite PHC, Dela Vega AJM. Global status of the robotic thoracic surgery. J Thorac Dis. 2021;13:6123–8. https://doi.org/10.21037/jtd-19-3271.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Cerfolio R, Louie BE, Farivar AS, Onaitis M, Park BJ. Consensus statement on definitions and nomenclature for robotic thoracic surgery. J Thorac Cardiovasc Surg. 2017;154:1065–9. https://doi.org/10.1016/j.jtcvs.2017.02.081.

    Article  PubMed  Google Scholar 

  10. Ramadan OI, Wei B, Cerfolio RJ. Robotic surgery for lung resections-total port approach: advantages and disadvantages. J Vis Surg. 2017;3:22. https://doi.org/10.21037/jovs.2017.01.06.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Oh DS, Tisol WB, Cesnik L, Crosby A, Cerfolio RJ. Port strategies for robot-assisted lobectomy by high-volume thoracic surgeons: a nationwide survey. Innovations. 2019;14:545–52. https://doi.org/10.1177/1556984519883643.

    Article  PubMed  Google Scholar 

  12. Gonzalez-Rivas D, Bosinceanub M, Motas N, Manolache V. Uniportal robotic-assisted thoracic surgery for lung resections. Eur J Cardiothorac Surg. 2022;62:ezac410. https://doi.org/10.1093/ejcts/ezac410.

    Article  PubMed  Google Scholar 

  13. Cerfolio RJ, Cichos KH, Wei B, Minnich DJ. Robotic lobectomy can be taught while maintaining quality patient outcomes. J Thorac Cardiovasc Surg. 2016;152:991–7. https://doi.org/10.1016/j.jtcvs.2016.04.085.

    Article  PubMed  Google Scholar 

  14. Overbey DM, Carmichael H, Wikiel KJ, Hirth DA, Chapman BC, Moore JT, et al. Monopolar stray energy in robotic surgery. Surg Endosc. 2021;35:2084–90. https://doi.org/10.1007/s00464-020-07605-5.

    Article  PubMed  Google Scholar 

  15. Wikiel KJ, Overbey DM, Carmichael H, Chapman BC, Moore JT, Barnett CC, et al. Stray energy transfer in single-incision robotic surgery. Surg Endosc. 2021;35:2981–5. https://doi.org/10.1007/s00464-020-07742-x.

    Article  PubMed  Google Scholar 

  16. Wikiel KJ, Robinson TN, Jones EL. Energy in robotic surgery. Ann Laparosc Endosc Surg. 2020;6:9. https://doi.org/10.21037/ales.2020.03.06.

    Article  Google Scholar 

  17. Turini GA, Brito JM, Leone AR, Golijanin D, Miller EB, Pareek G, et al. Intravesical hemostatic clip migration after robotic prostatectomy: case series and review of the literature. J Laparoendosc Adv Surg Tech A. 2016;26:710–2. https://doi.org/10.1089/lap.2015.0506.

    Article  PubMed  Google Scholar 

  18. Pearlstein DP. Robotic lobectomy utilizing the robotic stapler. Ann Thorac Surg. 2016;102:e591–3. https://doi.org/10.1016/j.athoracsur.

    Article  PubMed  Google Scholar 

  19. Galetta D, Casiraghi M, Pardolesi A, Borri A, Spaggiari L. New stapling devices in robotic surgery. J Vis Surg. 2017;3:45. https://doi.org/10.21037/jovs.2017.02.03.

    Article  PubMed  PubMed Central  Google Scholar 

  20. 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. https://doi.org/10.1016/j.jtcvs.2011.07.022.

    Article  PubMed  Google Scholar 

  21. Zervos M, Song A, Li Y, Lee SH, Oh DS. Clinical and economic outcomes of using robotic versus hand held staplers during robotic lobectomy. Innovations. 2021;16:470–6. https://doi.org/10.1177/15569845211040814.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Thoracic Surgery, Shin-yurigaoka General Hospital, Kawasaki, Kanagawa, Japan

    Makoto Oda & Rurika Hamanaka

Authors
  1. Makoto Oda
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  2. Rurika Hamanaka
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Editor information

Editors and Affiliations

  1. Department of Surgery, Universidade Federal de São Paulo, São Paulo, Brazil

    João Pádua Manzano

  2. Plastic Surgery Department, Universidade Federal de São Paulo, São Paulo, Brazil

    Lydia Masako Ferreira

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Oda, M., Hamanaka, R. (2023). Robotic Surgery Devices in Lobectomy for Lung Malignancies with the da Vinci Xi Surgical System. In: Manzano, J.P., Ferreira, L.M. (eds) Robotic Surgery Devices in Surgical Specialties. Springer, Cham. https://doi.org/10.1007/978-3-031-35102-0_4

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  • DOI: https://doi.org/10.1007/978-3-031-35102-0_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-35101-3

  • Online ISBN: 978-3-031-35102-0

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