Abstrakt Hrudní chirurgie Únor 2009

“Robot-Assisted Thoracoscopic Resection of Intralobar Sequestration.”

Al-Mufarrej, F., M. Margolis, et al. (2009).

J Laparoendosc Adv Surg Tech A.

Abstract In this paper, we report the first case of a robot-assisted thoracoscopic resection of intralobar sequestration. By virtue of greater dexterity and three-dimensional visualization, the da Vinci robot enables a safer, more precise dissection of sequestered tissue in the face of chronic inflammatory adhesions than conventional video-assisted thoracoscopic surgery does. Thus, in expert hands, such robotic technology is likely to result in less bleeding complications and less conversions to open surgery in cases of sequestration.


“Thoracoscopic robot-assisted extended thymectomy in human cadaver.”

Ishikawa, N., Y. S. Sun, et al. (2009).

Surg Endosc 23(2): 459-61.

Thoracoscopic robot-assisted extended thymectomy was performed in a human cadaver. The technique utilized the da Vinci surgical system inserted through the subxiphoid approach with the sternum lifted upward (anteriorly). A small subxiphoid incision and two additional thoracoports were made in the chest wall, and the sternum was lifted by a new lifting retractor system. This method provided sufficient view and working space in the anterior mediastinum. Complete thymectomy was performed with facility. The robotic system provides superior optics and allows for enhanced dexterity. Minimally invasive robotic-assisted thymectomy is an effective procedure and may add benefits for both surgeon and patients.