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Updated: Aug 29, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

A universal incision for robot-assisted thoracic surgery.

Jia Jiao¹, Jinbao Guo², Jia Zhao¹

¹Department of Thoracic Surgery and Lung Transplantation, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Frontiers in Surgery

|September 9, 2022

Summary

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A novel universal incision for robot-assisted thoracic surgery proved safe and versatile. This approach is suitable for a wide range of thoracic procedures, enhancing surgical options.

Area of Science:

Minimally Invasive Surgery
Thoracic Surgery
Robotic Surgery

Background:

Robot-assisted thoracic surgery (RATS) offers advantages in minimally invasive procedures.
Standardized or universal approaches can streamline RATS procedures.
Evaluating the adaptability of a single incision across diverse thoracic operations is crucial.

Purpose of the Study:

To design and assess the versatility of a universal incision for robot-assisted thoracic surgery.
To determine the safety and feasibility of this universal incision across various thoracic procedures.

Main Methods:

A universal incision concept was developed for RATS.
Clinical data from 342 RATS cases were retrospectively analyzed.
Data included patient demographics, surgical procedures, operative details, and outcomes.

Keywords:

esophagectomy lobectomy mediastinal mass minimally invasive thoracic surgery robot-assisted segmentectomy

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Main Results:

The study encompassed 178 pulmonary, 112 esophageal, and 52 mediastinal tumor cases.
The universal incision was successfully applied in most cases, with only two conversions to thoracotomy.
No massive intraoperative bleeding or perioperative deaths were reported.

Conclusions:

The universal incision for robot-assisted thoracic surgery is demonstrated to be safe and feasible.
This approach is suitable for a broad spectrum of thoracic surgical interventions.