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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Team-based recovery from unexpected events beyond bleeding control in robot-assisted thoracic surgery
Go Kamimura1, Masaya Aoki2, Takuya Tokunaga2
1Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan. k6474547@kadai.jp.
Abstract:
Robot-assisted thoracic surgery provides precise instrument control, but unexpected events may occur beyond bleeding control. We describe a practical recovery protocol for non-bleeding events during RATS. Representative events included visual loss, interface plate damage, unexpected vessel sealer motion, robotic arm excursion, and stapler-arm interference. Key steps were Stop Call, patient-side safety confirmation, verbal sharing, reassessment, conversion when safe recovery is not possible, and team agreement before restart.
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