Uniportal robotic thoracic surgery - an early Indian experience.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 Epub Date: 2024-12-23 DOI:10.1007/s12055-024-01862-y

Ajay Narasimhan, Manimaran Samidurai, Narasimhan Raghupathi, Ganapathy Arumugam Chandrasekaran

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引用次数: 0

Abstract

Introduction: Thoracic surgery has been conventionally performed via thoracotomy over many years. However, over the past few decades, lung surgery has evolved from open to minimally invasive surgery. Our robotic thoracic surgery programme started in October 2022. Since we were already performing uniportal video-assisted thoracic surgery (Uniportal VATS), we found it difficult to get oriented to the multi-port approach. So we decided to perform uniportal robot-assisted thoracic surgery (URATS). This article represents our initial experience in URATS.

Methods: We analysed the data of people who underwent URATS at our hospital. Twenty-one patients were included in this study. This was a retrospective study. Out of the 21 patients, 14 patients underwent surgery for benign conditions and 7 patients underwent surgery for malignancy. Thirteen patients underwent lobectomy, 1 patient underwent segmentectomy, 3 patients underwent wedge resection, 3 patients underwent mediastinal mass excision, and 1 patient underwent bronchogenic cyst excision. Out of the lobectomy group, 6 patients had benign conditions, the other 6 being operated for malignancy. All surgeries were performed by a single console surgeon using the da Vinci Xi robotic platform and the same assistant at the bedside.

Results: There was no conversion to a multiport robotic thoracic surgery or thoracotomy in our series. The average console time for the entire study group was 177.9 min. The average instrument active time for the entire study group was 130.5 min. The median instrument count per case in our study was 4. The average console time for lobectomy was 231.53 min. The average instrument active time for lobectomy was 174 min.

Conclusions: We conclude that, in appropriate patients, Uniportal RATS can be a safe and feasible alternative to other minimally invasive techniques in both benign and malignant conditions.

Graphical abstract:

Supplementary information: The online version contains supplementary material available at 10.1007/s12055-024-01862-y.

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单传送门机器人胸外科手术——早期印度的经验。

简介：多年来，传统的胸外科手术都是通过开胸手术进行的。然而，在过去的几十年里，肺部手术已经从开放手术发展到微创手术。我们的机器人胸外科手术项目始于2022年10月。由于我们已经进行了单通道视频辅助胸外科手术（uniportal VATS），我们发现很难定位到多通道入路。因此，我们决定进行单门机器人辅助胸外科手术（URATS）。本文代表了我们使用URATS的初步经验。方法：对我院行URATS的患者资料进行分析。本研究纳入了21例患者。这是一项回顾性研究。在21例患者中，14例患者接受了良性手术，7例患者接受了恶性手术。肺叶切除术13例，节段切除术1例，楔形切除术3例，纵隔肿块切除术3例，支气管源性囊肿切除术1例。在肺叶切除术组中，6例为良性，6例为恶性。所有手术均由一名控制台外科医生使用达芬奇Xi机器人平台和床边的同一名助手进行。结果：在我们的研究中，没有一例患者转向多切口机器人胸外科手术或开胸手术。整个研究组的平均控制台时间为177.9分钟。整个研究组的平均仪器有效时间为130.5分钟。我们的研究中每个病例的中位仪器计数为4。肺叶切除术的平均复位时间为231.53分钟。肺叶切除术的平均器械活动时间为174分钟。结论：在适当的患者中，无论是良性还是恶性，Uniportal RATS都是一种安全可行的替代其他微创技术的方法。图片摘要：补充资料：在线版本包含补充资料，网址为10.1007/s12055-024-01862-y。

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.