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Roboterassistierte Thoraxchirurgie – Anwendungsgebiete und Limitationen

Robot-assisted thoracic surgery—Areas of application and limitations

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Zusammenfassung

Der Anteil roboterassistierter Thoraxchirurgie (RATS) nimmt stetig zu. Die wesentlichen Anwendungsgebiete in der klinischen Routine sind die Durchführung anatomischer Lungenresektionen mit Lymphadenektomie sowie die Chirurgie des Mediastinums. Insbesondere im Bereich des Thymus kann das robotisch assistierte Vorgehen mittlerweile als Goldstandard gewertet werden. Insgesamt können durch den Einsatz der roboterassistierten Chirurgie Limitationen der videoassistierten thorakoskopischen Chirurgie (VATS) überwunden werden und somit ein größerer Anteil an Patienten einem minimal-invasivem Verfahren zugeführt werden. Die Sicherheit der RATS wurde wiederholt gezeigt, wenngleich der Nachweis wissenschaftlich messbarer Vorteile wahrscheinlich schwierig bleiben wird. Durch die Markteinführung neuer Systeme ist eine weitergehende technische Evolution und Verbesserung auch in Zukunft anzunehmen.

Abstract

The proportion of robot-assisted thoracic surgery (RATS) is continuously increasing. The main areas of clinical application are anatomical lung resections with lymphadenectomy and resection of mediastinal tumors. Especially in the area of the thymus robot-assisted procedures can now be considered the gold standard. Overall, the limitations of video-assisted thoracoscopic surgery (VATS) can be overcome by the use of robot-assisted surgery and thus a larger proportion of patients can be treated with minimally invasive procedures. The safety of the RATS procedure has been repeatedly demonstrated, although it remains difficult to demonstrate scientifically measurable benefits. With the introduction of new systems on the market further technical evolution and improvement can be expected in the future.

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Authors and Affiliations

  1. Klinik für Allgemein‑, Viszeral‑, Thorax‑, Transplantations- und Kinderchirurgie, Christian-Albrechts-Universität zu Kiel und Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland

    Thorben Möller &  Jan-Hendrik Egberts

  2. Sektion Thoraxchirurgie, Klinik für Allgemeine, Viszeral- Thorax‑, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland

    Jan-Hendrik Egberts

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  1. Thorben Möller
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Correspondence to Jan-Hendrik Egberts.

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Interessenkonflikt

T. Möller gibt an, dass kein Interessenkonflikt besteht. J.-H. Egberts ist als Proctor und Referent für die Firma Intuitive Surgical tätig.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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C. Bruns, Köln

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Möller, T., Egberts, JH. Roboterassistierte Thoraxchirurgie – Anwendungsgebiete und Limitationen. Chirurg 92, 122–127 (2021). https://doi.org/10.1007/s00104-020-01298-1

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  • DOI: https://doi.org/10.1007/s00104-020-01298-1

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