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Related Experiment Video

Updated: Jul 15, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Uniportal robotic assisted surgery for anatomical lung resection-First German experience.

Davor Stamenovic1, P Schiller1, I Karampinis1

  • 1Department of Thoracic Surgery, Center for Thoracic Diseases, University Medical Center Mainz, Mainz, Germany.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
|October 4, 2023
PubMed
Summary

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Uniportal robotic-assisted thoracic surgery (uRATS) shows comparable outcomes to uniportal video-assisted thoracic surgery (uVATS). Further studies are needed to confirm robotic superiority in thoracic procedures.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Uniportal robotic-assisted thoracic surgery (uRATS) is an emerging technique.
  • Potential advantages over multiportal approaches are suggested.
  • Initial outcomes of uRATS require evaluation.

Purpose of the Study:

  • To evaluate the initial outcomes of uniportal robotic-assisted thoracic surgery (uRATS).
  • To compare uRATS with uniportal video-assisted thoracic surgery (uVATS).

Main Methods:

  • Five patients underwent anatomic lung resections with systematic nodal dissection via uRATS.
  • Comparison with the first five uVATS anatomical resections by the same surgeon.
  • Outcomes assessed included hospital stay, complications, blood loss, procedure time, and pain scores.
Keywords:
anatomical lung resectionsrobotic surgeryuniportal

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Main Results:

  • No adverse events during uRATS procedures.
  • Comparable surgical outcomes (hospital stay, complications, blood loss) between uRATS and uVATS.
  • Slightly longer procedural time in uRATS, but lower pain scores.
  • One major complication and one in-hospital mortality in each group.

Conclusions:

  • uRATS and uVATS demonstrate comparable outcomes, indicating feasibility.
  • Robotic approach shows potential in thoracic surgery.
  • Prospective studies are necessary to compare learning curves, complication rates, and hospital stays to establish robotic superiority.