Faculty Collaboration Database

Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology. Eur J Cardiothorac Surg 2003 Jun;23(6):883-7; discussion 887

Date

06/28/2003

Pubmed ID

12829062

DOI

10.1016/s1010-7940(03)00160-x

Scopus ID

2-s2.0-0038724681 (requires institutional sign-in at Scopus site)   68 Citations

Abstract

OBJECTIVE: Computer (robotic) enhancement has been used to facilitate simple thoracoscopic procedures such as internal mammary artery (IMA) mobilization. This report describes the use of robotic technology in advanced thoracoscopic procedures.

METHODS: Ten patients underwent advanced thoracoscopic procedures utilizing the Da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA) at our institution.

RESULTS: Patients 1-6 underwent endoscopic phrenic nerve mobilization with insertion of phrenic nerve pacemakers. The indications were quadriplegia (n=2), central hypoventilation syndrome (n=2), and intractable hiccups (n=2). Three 1-cm incisions were made to access each hemithorax. Patients 7 and 8 underwent robotically assisted resection of posterior mediastinal masses. Patient 9 underwent robotically assisted thoracoscopic left lower lobectomy for a lung mass. Patient 10 underwent robotically assisted left ventricular lead placement for biventricular pacing for heart failure.

CONCLUSIONS: Robotic technology can be used to perform advanced intrathoracic maneuvers thoracoscopically. The increased visualization and instrument dexterity afforded by this technology may facilitate the development of minimally invasive thoracic approaches that were previously not feasible.

Author List

Morgan JA, Ginsburg ME, Sonett JR, Morales DL, Kohmoto T, Gorenstein LA, Smith CR, Argenziano M

Author

Takushi Kohmoto MD, PhD Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Aged, 80 and over
Electric Stimulation
Female
Heart Failure
Humans
Lung
Male
Middle Aged
Minimally Invasive Surgical Procedures
Neoplasms
Pacemaker, Artificial
Phrenic Nerve
Robotics
Surgery, Computer-Assisted
Thoracic Surgery, Video-Assisted
Thoracic Wall
Thoracoscopy