Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/46670 |
Resumo: | The uniportal access for robotic thoracic surgery presents itself as a natural evolution of minimally invasive thoracic surgery (MITS). It was developed by surgeons who pioneered the uniportal video-assisted thoracic surgery (U-VATS) in all its aspects following the same principles of a single incision by using robotic technology. The robotic surgery was initially started as a hybrid procedure with the use of thoracoscopic staplers by the assistant. However, due to the evolution of robotic modern platforms, the staplers can be nowadays controlled by the main surgeon from the console. The pure uniportal robotic-assisted thoracic surgery (U-RATS) is defined as the robotic thoracic surgery performed through a single intercostal (ic) incision, without rib spreading, using the robotic camera, robotic dissecting instruments and robotic staplers. There are presented the advantages, difficulties, the general aspects and specific considerations for U-RATS. For safety reasons, the authors recommend the transition from multiportal-RATS through biportal-RATS to U-RATS. The use of robotic dissection and staplers through a single incision and the rapid undocking with easy emergent conversion when needed (either to U-VATS or to thoracotomy) are safety advantages over multi-port RATS that cannot be overlooked, offering great comfort to the surgeon and quick and smooth recovery to the patient. |
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Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricksProcedimentos Cirúrgicos RobóticosCirurgia Torácica VídeoassistidaRobotic Surgical ProceduresThoracic Surgery, Video-AssistedThe uniportal access for robotic thoracic surgery presents itself as a natural evolution of minimally invasive thoracic surgery (MITS). It was developed by surgeons who pioneered the uniportal video-assisted thoracic surgery (U-VATS) in all its aspects following the same principles of a single incision by using robotic technology. The robotic surgery was initially started as a hybrid procedure with the use of thoracoscopic staplers by the assistant. However, due to the evolution of robotic modern platforms, the staplers can be nowadays controlled by the main surgeon from the console. The pure uniportal robotic-assisted thoracic surgery (U-RATS) is defined as the robotic thoracic surgery performed through a single intercostal (ic) incision, without rib spreading, using the robotic camera, robotic dissecting instruments and robotic staplers. There are presented the advantages, difficulties, the general aspects and specific considerations for U-RATS. For safety reasons, the authors recommend the transition from multiportal-RATS through biportal-RATS to U-RATS. The use of robotic dissection and staplers through a single incision and the rapid undocking with easy emergent conversion when needed (either to U-VATS or to thoracotomy) are safety advantages over multi-port RATS that cannot be overlooked, offering great comfort to the surgeon and quick and smooth recovery to the patient.Repositório ComumGonzalez-Rivas, DManolache, VBosinceanu, MLGallego-Poveda, JGarcia-Perez, Ade la Torre, MTurna, AMotas, N2023-09-20T21:09:02Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/46670engAnn Transl Med . 2023 Aug 30;11(10):362.10.21037/atm-22-1866info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-26T04:45:21Zoai:comum.rcaap.pt:10400.26/46670Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:31:05.871026Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
title |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
spellingShingle |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks Gonzalez-Rivas, D Procedimentos Cirúrgicos Robóticos Cirurgia Torácica Vídeoassistida Robotic Surgical Procedures Thoracic Surgery, Video-Assisted |
title_short |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
title_full |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
title_fullStr |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
title_full_unstemmed |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
title_sort |
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks |
author |
Gonzalez-Rivas, D |
author_facet |
Gonzalez-Rivas, D Manolache, V Bosinceanu, ML Gallego-Poveda, J Garcia-Perez, A de la Torre, M Turna, A Motas, N |
author_role |
author |
author2 |
Manolache, V Bosinceanu, ML Gallego-Poveda, J Garcia-Perez, A de la Torre, M Turna, A Motas, N |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Gonzalez-Rivas, D Manolache, V Bosinceanu, ML Gallego-Poveda, J Garcia-Perez, A de la Torre, M Turna, A Motas, N |
dc.subject.por.fl_str_mv |
Procedimentos Cirúrgicos Robóticos Cirurgia Torácica Vídeoassistida Robotic Surgical Procedures Thoracic Surgery, Video-Assisted |
topic |
Procedimentos Cirúrgicos Robóticos Cirurgia Torácica Vídeoassistida Robotic Surgical Procedures Thoracic Surgery, Video-Assisted |
description |
The uniportal access for robotic thoracic surgery presents itself as a natural evolution of minimally invasive thoracic surgery (MITS). It was developed by surgeons who pioneered the uniportal video-assisted thoracic surgery (U-VATS) in all its aspects following the same principles of a single incision by using robotic technology. The robotic surgery was initially started as a hybrid procedure with the use of thoracoscopic staplers by the assistant. However, due to the evolution of robotic modern platforms, the staplers can be nowadays controlled by the main surgeon from the console. The pure uniportal robotic-assisted thoracic surgery (U-RATS) is defined as the robotic thoracic surgery performed through a single intercostal (ic) incision, without rib spreading, using the robotic camera, robotic dissecting instruments and robotic staplers. There are presented the advantages, difficulties, the general aspects and specific considerations for U-RATS. For safety reasons, the authors recommend the transition from multiportal-RATS through biportal-RATS to U-RATS. The use of robotic dissection and staplers through a single incision and the rapid undocking with easy emergent conversion when needed (either to U-VATS or to thoracotomy) are safety advantages over multi-port RATS that cannot be overlooked, offering great comfort to the surgeon and quick and smooth recovery to the patient. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-20T21:09:02Z 2023 2023-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/46670 |
url |
http://hdl.handle.net/10400.26/46670 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Ann Transl Med . 2023 Aug 30;11(10):362. 10.21037/atm-22-1866 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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