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Robotic Lobectomy

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Minimally Invasive Thoracic and Cardiac Surgery

Abstract

Major lung resections by minimally invasive surgery (MIS) has been acknowledged as an effective technique for treatment of early stage lung cancer. Multiple publications have demonstrated the safety and clear benefits of this approach (video thoracic surgery or VTS) over thoracotomy. However, concerns still remain especially in terms of lack of standardization of operative technique, technical limitations (impaired vision, restricted instrument manoeuvrability, unstable camera platform), and poor ergonomics for surgeon. Recently, robots have been introduced into surgical practice in an attempt to facilitate surgical performance. In order to address some of these limitations, a robotic surgical system (da Vinci, Intuitive Surgical, Sunnyvale, CA, US) has been developed with 3-dimensional, high-definition imaging, instrumentation with seven degrees of freedom, and a master–slave surgical cart. This chapter describes technical aspects and assimilation of this new technique into the practice of thoracic surgeon and attempts to answer some questions: How do we assure quality and safety in terms of proper oncologic surgery?

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Author information

Authors and Affiliations

  1. Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi M.D.

  2. Department of Cardio-Thoracic and Vascular Surgery, University of Pisa, Via Paradisa 2, Pisa, 56124, Italy

    Federico Davini M.D., Olivia Fanucchi M.D. & Alfredo Mussi M.D.

  3. Division of General Thoracic Surgery, University Hospital Berne, Freiburgstrasse, Berne, CH-3010, Switzerland

    Ralph Alexander Schmid M.D.

Authors
  1. Franca M. A. Melfi M.D.
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  2. Federico Davini M.D.
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  3. Olivia Fanucchi M.D.
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  4. Ralph Alexander Schmid M.D.
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  5. Alfredo Mussi M.D.
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Corresponding author

Correspondence to Ralph Alexander Schmid M.D. .

Editor information

Editors and Affiliations

  1. Klinik Hirslanden, Thoraxzentrum Zürich, Witellikerstr. 40, Zürich, 8008, Switzerland

    Rolf Gilbert Carl Inderbitzi

  2. , Division of General Thoracic Surgery, University Hospital Berne
, Freiburgstr. 2010, Berne, 3010, Switzerland

    Ralph Alexander Schmid

  3. , Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi

  4. St. Mary's Hospital, Department of Cardio-Thoracic Surgery, Imperial College Healthcare NHS Trust, Praed Street, LONDON, W2 1NY, United Kingdom

    Roberto Pasquale Casula

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© 2012 Springer-Verlag Berlin Heidelberg

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Melfi, F.M.A., Davini, F., Fanucchi, O., Schmid, R.A., Mussi, A. (2012). Robotic Lobectomy. In: Inderbitzi, R., Schmid, R., Melfi, F., Casula, R. (eds) Minimally Invasive Thoracic and Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11861-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-11861-6_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11860-9

  • Online ISBN: 978-3-642-11861-6

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