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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
220

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Related Experiment Video

Updated: Jun 12, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

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Robotic thoracic surgery: lessons learned from the first 1,000 procedures.

Marion Durand1, Lee S Nguyen2, Frankie Mbadinga3

  • 1Thoracic Surgery Department, Groupe Hospitalier Privé Ambroise Paré Hartmann, Neuilly-Sur-Seine, France.

Frontiers in Surgery
|September 27, 2024
PubMed
Summary
This summary is machine-generated.

Robotic thoracic surgery, particularly for lung cancer resection, demonstrates improved outcomes. This approach offers shorter hospital stays and reduced complications, especially for lung-sparing segmentectomies compared to lobectomies.

Keywords:
RATSlobectomynon-small cell lung cancerrobot-assisted thoracic surgerysegmentectomysub-lobar resection

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery
  • Surgical Oncology

Background:

  • The adoption of robotic platforms in thoracic surgery is increasing.
  • Evaluating the impact of robotic approaches in high-volume centers is crucial for understanding procedural efficiency and clinical outcomes.
  • The Epithor® database provides a valuable resource for analyzing prospective data in French thoracic surgery.

Purpose of the Study:

  • To assess the impact of the robotic thoracic approach after 1,000 procedures in a high-volume center.
  • To analyze procedural characteristics and clinical outcomes associated with robotic lung resections.
  • To compare outcomes between lobectomy and segmentectomy procedures performed robotically.

Main Methods:

  • Prospective cohort study using the Epithor® database (February 2014 - April 2023).
  • Analysis of 1,067 patients undergoing robotic thoracic surgery, focusing on anatomical lung resections.
  • Statistical comparison using Chi-2 and Mann-Whitney-Wilcoxon tests (p < 0.05 significance).

Main Results:

  • Robotic surgery was utilized in 85% of anatomical lung resections.
  • Segmentectomies showed significantly shorter length of stay (7 days vs. 9 days), shorter surgery time (99 min vs. 116 min), lower conversion rates (p=0.004), and lower complication rates (28% vs. 40%) compared to lobectomies.
  • A shift towards segmentectomy (from 20% to 70%) was observed over the study period, with a higher prevalence of prior cancer in the segmentectomy group.

Conclusions:

  • The robotic platform is a suitable tool for anatomical lung resections.
  • Robotic surgery facilitates a safe and systematic approach, particularly for lung-sparing sub-lobar resections.
  • The study highlights the growing trend and benefits of robotic segmentectomy in thoracic surgery.