Multiport robotic anatomic lung resections: a dodecalogue for neophytes.

Area of Science:

• Thoracic Surgery
• Robotic Surgery
• Surgical Techniques

Background:

• The evolution of multiportal robotic thoracic surgery from early techniques to current sophisticated methods.
• The increasing importance of technological advancements and adaptive surgical strategies in the field.

Purpose of the Study:

• To provide a practical guide, the dodecalogue for neophytes, for surgeons new to multiportal robotic thoracic surgery.
• To review the historical development and advocate for the use of multiportal robotic techniques in anatomic resections.
• To offer insights into operating room streamlining and efficiency for robotic thoracic procedures.

Main Methods:

• Compilation of practical tips and accumulated surgical wisdom for novice surgeons.
• Historical review of multiportal robotic thoracic surgery advancements.
• Discussion of general principles for operating room streamlining and team leadership.

Main Results:

• An argument is presented for the use of multiportal robotic techniques in anatomic resections, emphasizing enhanced control, precision, and reproducibility.
• The flexibility of the multiportal approach for various surgical scenarios is highlighted.
• The importance of surgeon leadership, clear communication, and routine for safe and efficient operating room operations is stressed.

Conclusions:

• Multiportal robotic thoracic surgery offers significant advantages in control, precision, and reproducibility for anatomic resections.
• A combination of historical perspective, practical guidance, and operational strategies is essential for surgeons new to robotic thoracic surgery.
• Efficient operating room management, including clear communication and established routines, is crucial for successful robotic thoracic procedures.