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Updated: May 5, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

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[Robot-assisted thoracic surgery. Our first experiences].

Áron Ghimessy¹, Péter Radeczky¹, Klára Török¹

¹Mellkasi Központ, Országos Onkológiai Intézet, Budapest, Hungary. ghimessy.aron@oncol.hu.

Magyar Onkologia

|September 19, 2024

Summary

Robotic-assisted thoracic surgery (RATS) demonstrates safety and efficiency, with shorter intensive care stays and improved lymph node removal compared to traditional methods. This technique shows promise for enhanced staging in thoracic procedures.

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Area of Science:

Thoracic Surgery
Minimally Invasive Surgery
Surgical Oncology

Background:

Robotic-assisted thoracic surgery (RATS) is increasingly adopted.
Evaluation of early outcomes is crucial for establishing its role.
National Institute of Oncology's initial experience provides valuable data.

Purpose of the Study:

To analyze postoperative outcomes of the first 300 RATS cases.
To compare RATS with video-assisted thoracic surgery (VATS) and open procedures.
To assess the learning curve and efficiency of RATS.

Main Methods:

Retrospective analysis of 300 RATS patients' clinicopathological and postoperative data.
Comparative study of 30 RATS cases versus 30 VATS and 30 open cases by one surgeon.
Evaluation of operative time, hospital stay, conversion rates, reoperations, morbidity, and lymph node yield.

Main Results:

Low rates of conversion (1.8%), reoperation (2%), and morbidity (10.6%).
Average hospital stay of 5.2 days, with chest tube removal on postoperative day 2.
Shorter intensive care unit stay and significantly higher lymph node yield in RATS compared to VATS.
Operating time demonstrated a learning curve, with stabilization after 20 cases.

Conclusions:

RATS is a safe and effective technique in thoracic surgery.
RATS facilitates a higher yield of lymph nodes, potentially improving cancer staging.
Early outcomes suggest advantages over VATS in specific metrics like ICU stay and lymph node retrieval.