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Transthoracic robotic plication for diaphragmatic elevation.

Merve Şengül İnan¹, Kuthan Kavaklı¹, Hakan Işık¹

¹Department of Thoracic Surgery, Gülhane Training and Research Hospital, Ankara, Türkiye.

Turk Gogus Kalp Damar Cerrahisi Dergisi

|July 24, 2023

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Robot-assisted surgery for diaphragmatic plication is feasible and safe, significantly improving respiratory function and quality of life for patients. This minimally invasive approach enhances patient outcomes and recovery.

Area of Science:

Thoracic Surgery
Minimally Invasive Surgery
Robotic Surgery

Background:

Diaphragmatic plication is a surgical procedure to correct diaphragm dysfunction.
Transthoracic robot-assisted surgery offers potential advantages in dexterity and safety.

Purpose of the Study:

To evaluate the feasibility, safety, and efficacy of robot-assisted diaphragmatic plication.
To detail the surgical approach for this procedure.

Main Methods:

Retrospective analysis of 13 patients undergoing robot-assisted diaphragmatic plication (Jan 2014 - Jan 2020).
Assessment of changes in dyspnea scale, lung function (FEV1), and quality of life scores pre- and post-surgery.
Evaluation of perioperative outcomes including chest tube duration and hospital stay.

Keywords:

Diaphragmatic plication minimally invasive surgery robot-assisted thoracoscopic surgery transthoracic robotic plication

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Main Results:

Significant improvement in Medical Research Council dyspnea scores (p=0.008).
Significant improvement in forced expiratory volume in 1 second (FEV1) at one year post-surgery (p=0.036).
Significant improvement in physical health subscale of quality of life scores (p=0.002).

Conclusions:

Robot-assisted diaphragmatic plication is technically feasible, safe, and effective.
The robotic system facilitates precise and secure performance of the plication procedure.
Improved respiratory function post-surgery positively impacts patient quality of life.