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"Five on a dice" port placement for robot-assisted thoracoscopic right upper lobectomy using robotic stapler
1Division of Thoracic Surgery, Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, Houston, TX, USA.
Journal of Thoracic Disease
|January 10, 2018
Summary
The new "five on a dice" technique for robotic lung resection using the da Vinci Xi system allows surgeons to maintain full control, minimizing the need for bedside assistance during pulmonary lobectomy.
Area of Science:
- Thoracic Surgery
- Robotic Surgery
- Surgical Innovation
Background:
- Early da Vinci robot systems (S and Si) had limitations for pulmonary resection.
- These limitations necessitated significant bedside assistant involvement for stapling major vascular structures.
Purpose of the Study:
- To develop a novel port placement and technique for pulmonary resection using the da Vinci Xi system.
- To enable total surgeon control during robotic-assisted lobectomy.
Main Methods:
- Implementation of the
- five on a dice
- port placement strategy.
- Utilizing the da Vinci Xi system's enhanced capabilities, including a vascular robot stapler.
Main Results:
- The
- five on a dice
- technique allows for minimal assistance during lobectomy.
- Surgeons achieved full control throughout the procedure.
Conclusions:
- The developed technique leverages the da Vinci Xi system for safe and ergonomic robotic-assisted lobectomy.
- This approach significantly reduces reliance on bedside assistants for critical stapling tasks.