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Uniportal robotic‑assisted thoracic surgery for anatomical lung resections: initial experience and technical
1Thoracic Surgery Department, Basakşehir Çam ve Sakura City Hospital, İstanbul, Turkey.
Summary
Uniportal robotic-assisted thoracic surgery (URATS) is safe and feasible for complex lung resections. A standardized "vertical parallel" docking strategy simplifies setup and reduces learning curves for URATS procedures.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Uniportal robotic-assisted thoracic surgery (URATS) offers precision and minimal invasiveness.
- Widespread adoption is hindered by technical challenges like robotic arm collision and complex setup.
Purpose of the Study:
- To evaluate the feasibility, safety, and early adaptation of URATS.
- To assess a standardized "vertical parallel" docking strategy in initial cases.
Main Methods:
- Retrospective analysis of 12 consecutive URATS anatomical lung resections.
- Implementation of a strict vertical parallel docking configuration to prevent robotic arm collision.
- Trend analysis of docking and console times to assess early learning curves.
Main Results:
- All 12 procedures were completed successfully without conversion.
- Median operative time was 211 minutes; setup time rapidly standardized to a median of 5 minutes.
- Significant correlation demonstrated rapid adaptation to the setup process (Spearman ρ = -0.92; P < 0.001).
Conclusions:
- URATS is a safe and feasible technique for complex anatomical lung resections, including pneumonectomy.
- A vertical parallel docking strategy may shorten the adaptation phase and improve reproducibility by preventing collisions.
