Journal of Robotic Surgery

, Volume 13, Issue 3, pp 511–514 | Cite as

Robotic thoracic surgery: a support team to replace the bedside surgeon

  • William WrightsonEmail author
Brief Communication


Establishing a new robotics program presents a unique set of challenges that differ from routine operative procedures. These include training robotic staff, operating room logistics, and surgeon training. As the surgeon moves away from the patient bedside, the responsibilities of the bedside team and circulating staff must increase to fill that void. Therefore, a critical element of robotic thoracic surgery is the training of the robotic team to facilitate fluid movement of the patient through the surgical process. We report our process in establishing a thoracic robotics program with an emphasis on the training personnel.


Thoracic surgery Training Staff 


Compliance with ethical standards

Conflict of interest

William R. Wrightson declares that he has no conflict of interest.


  1. 1.
    Melfi FM, Menconi GF, Mariani AM et al (2002) Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg 21:864–868CrossRefGoogle Scholar
  2. 2.
    Louie BE, Wilson JL, Kim S et al (2016) Comparison of video-assisted thoracoscopic surgery and robotic approaches for clinical stage I and stage II non-small cell lung cancer using the society of thoracic surgeons database. Ann Thorac Surg 102:917–924CrossRefGoogle Scholar
  3. 3.
    Yang HX, Woo KM, Sima CS, Bains MS, Adusumilli PS, Huang J, Finley DJ, Rizk NP, Rusch VW, Jones DR, Park BJ (2017) Long-term Survival Based on the surgical approach to lobectomy for clinical stage I nonsmall cell lung cancer: comparison of robotic, video-assisted thoracic surgery, and thoracotomy lobectomy. Ann Surg 265(2):431–437CrossRefGoogle Scholar
  4. 4.
    Kaur MN, Xie F, Shiwcharan A, Patterson L, Shargall Y, Finley C, Schieman C, Dalimonte T, Fahim C, Hanna WC (2018) Robotic versus video-assisted thoracoscopic lung resection during early program development. Ann Thorac Surg 105(4):1050–1057CrossRefGoogle Scholar
  5. 5.
    Sarmanian JD (2015) Robot-assisted thoracic surgery (RATS): perioperative nursing professional development program. AORN J 102(3):241–253CrossRefGoogle Scholar
  6. 6.
    Bhora FY, Al-Ayoubi AM, Rehmani SS, Forleiter CM, Raad WN, Belsley SG (2016) Robotically assisted thoracic surgery: proposed guidelines for privileging and credentialing. Innovations (Phila) 11(6):386–389Google Scholar
  7. 7.
    Raad WN, Ayub A, Huang CY, Guntman L, Rehmani SS, Bhora FY. (2018) Robotic thoracic surgery training for residency programs: a position paper for an educational curriculum. Innovations (Phila). 13(6):417–422CrossRefGoogle Scholar
  8. 8.
    Suda T. Transition from video-assisted thoracic surgery to robotic pulmonary surgery. J Vis Surg. 2017;3:55. (eCollection 2017. Review. PubMed PMID: 29078618; PubMed Central PMCID: PMC5637952) CrossRefGoogle Scholar
  9. 9.
    Baldonado JJAR, Amaral M, Garrett J, Moodie C, Robinson L, Keenan R, Toloza EM, Fontaine JP. Credentialing for robotic lobectomy: what is the learning curve? A retrospective analysis of 272 consecutive cases by a single surgeon. J Robot Surg. 2018. Google Scholar
  10. 10.
    Lee BE, Korst RJ, Kletsman E, Rutledge JR (2014 Feb) Transitioning from video-assisted thoracic surgical lobectomy to robotics for lung cancer: are there outcomes advantages? J Thorac Cardiovasc Surg 147(2):724–729CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  1. 1.Chief of Thoracic Surgery Robley Rex VA Medical Center, University of LouisvilleLouisvilleUSA

Personalised recommendations