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Updated: Oct 22, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Robotic lobectomy: how to teach thoracic residents
Ricardo Mingarini Terra1, Pedro Henrique Cunha Leite1, Alberto Jorge Monteiro Dela Vega1
1Thoracic Surgery Division, Heart Institute (InCor) do Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Robotic thoracic surgery training programs are crucial for enhancing surgeon safety and skills, especially for complex lung lobectomies. A comprehensive curriculum with virtual reality and animal models is recommended for efficient learning.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Thoracic Surgery
Background:
- Robotic thoracic surgery has advanced significantly, showing strong clinical and oncological outcomes.
- Despite its benefits, safety concerns persist, particularly during the learning curve for complex procedures like lung resections.
Purpose of the Study:
- To emphasize the critical need for specialized training programs in robotic thoracic surgery.
- To propose an effective curriculum for surgeons and residents to improve safety and efficiency.
Main Methods:
- Development of comprehensive robotic surgery training curricula.
- Integration of technical content with psychomotor training using virtual reality, physical, and animal models.
- Gradual progression of surgical complexity for residents, starting with simpler procedures.
Main Results:
- Training programs are essential for addressing safety concerns during the learning curve of robotic thoracic procedures.
- Specific training in robotic lobectomy is vital due to the complexity of pulmonary vessel dissection.
Conclusions:
- A robust training curriculum, incorporating diverse simulation methods and progressive skill development, is capital for safe and efficient robotic thoracic surgery.
- Effective evaluation methods should span from initial skill acquisition to clinical practice.
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