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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
238
Subxiphoid uniportal robotic thymectomy using da Vinci Xi system†.
Takashi Suda1, Mizuki Morota1, Takahiro Negi1
1Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Aichi, Japan.
Summary
This study introduces a novel subxiphoid uniportal robotic thymectomy technique using the da Vinci Xi system. This minimally invasive approach offers enhanced surgical visibility and operability without intercostal access.
Area of Science:
- Thoracic Surgery
- Robotic Surgery
- Minimally Invasive Procedures
Background:
- Traditional thymectomy approaches can involve significant invasiveness.
- Robotic systems offer enhanced dexterity and visualization in thoracic surgery.
- Uniportal approaches aim to reduce surgical trauma and improve cosmesis.
Purpose of the Study:
- To describe and evaluate a novel subxiphoid uniportal robotic thymectomy technique.
- To assess the feasibility and benefits of using the da Vinci Xi system for this approach.
- To demonstrate a method for avoiding intercostal access during robotic thymectomy.
Main Methods:
- A 4-cm vertical incision was made 1 cm caudal to the xiphoid process.
- The da Vinci Xi robotic system and AIRSEAL ROBOTIC SOLUTION were utilized.
- Specific port insertion and camera manipulation techniques were employed to minimize port collision.
Main Results:
- Successful subxiphoid uniportal robotic thymectomy was performed.
- The technique demonstrated excellent surgical visibility from the subxiphoid approach.
- Enhanced operability and minimal invasiveness were achieved.
Conclusions:
- Subxiphoid uniportal robotic thymectomy with the da Vinci Xi is a feasible and effective technique.
- This method provides excellent visualization and enhanced surgical capabilities.
- It represents a minimally invasive alternative to traditional thymectomy without intercostal access.
