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[Three-dimensional (3D)-Video-assisted Thoracic Surgery (VATS) and Robot-assisted Thoracic Surgery(RATS)].

Morio Ohta¹, Osamu Kakazu

¹Department of Thoracic Surgery, Nakagami Hospital, Okinawa, Japan.

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Three-dimensional video-assisted thoracic surgery (3D-VATS) offers enhanced spatial depth for lung cancer procedures. While effective, potential drawbacks like dizziness exist, prompting exploration of newer robotic-assisted thoracic surgery (RATS).

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Area of Science:

Thoracic Surgery
Minimally Invasive Surgery
Surgical Technology

Background:

Three-dimensional video-assisted thoracic surgery (3D-VATS) was introduced globally in 2012.
The technique has been applied to lobectomy, mediastinal tumor resection, and uniportal VATS.

Purpose of the Study:

To evaluate the application and outcomes of 3D-VATS in thoracic surgery.
To compare 3D-VATS with the emerging field of robot-assisted thoracic surgery (RATS).

Main Methods:

Analysis of 224 lung cancer patients treated with 3D-VATS from March 2012 to October 2019.
Inclusion of mediastinal tumor resections and 3D-uniportal-VATS procedures.

Main Results:

3D-VATS provides significant spatial depth, an advantage in thoracic procedures.
Reported disadvantages include patient discomfort such as dizziness.
Robot-assisted thoracic surgery (RATS) has seen rapid adoption since its introduction in April 2018.

Conclusions:

3D-VATS is an established technique for thoracic surgery, offering improved visualization.
The rise of RATS indicates a future trend towards robotic systems in thoracic procedures.
Safety measures are crucial for all surgical approaches, including 3D-VATS and RATS.