Kajiwara Naohiro, Kakihana Masatoshi, Kawate Norihiko, Ikeda Norihiko
Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
Interact Cardiovasc Thorac Surg. 2011 Feb;12(2):112-6. doi: 10.1510/icvts.2010.251652. Epub 2010 Nov 16.
The da Vinci® Surgical System (dV) and its later version [da Vinci S® Surgical System (dVS)] have been used only in very few cases in selected thoracic surgical areas in Japan. Recently, we used the dV and dVS for various types of anterior and middle mediastinal tumors in clinical practice. We report our experience, and review the settings which depended on tumor location. Six patients gave written informed consent to undergo robotic surgery using the dV or dVS. We evaluated the feasibility, safety and appropriate settings of this system for the surgical treatment of mediastinal tumors. Tumor dissection was performed by two specialists in thoracic surgery certified to use the dV and dVS, and another specialist who acted as an assistant. We were able to access difficult-to-reach areas like the mediastinum. All the resected tumors were classified as benign tumors histologically. Crucial to the success of these operations was the set-up of the dV, which varied according to the location of mediastinal tumors. Robotic surgery enables various types of mediastinal tumor dissection more safely and easily than conventional video-assisted thoracoscopic surgery (VATS). The dV requires the appropriate set-up configuration, which varies according to the location of the mediastinal tumor.
达芬奇®手术系统（dV）及其后续版本[达芬奇S®手术系统（dVS）]在日本仅在少数特定胸外科领域有过极少的应用案例。最近，我们在临床实践中使用dV和dVS治疗了各种类型的前纵隔和中纵隔肿瘤。我们报告我们的经验，并回顾取决于肿瘤位置的设置。六名患者书面知情同意接受使用dV或dVS的机器人手术。我们评估了该系统用于纵隔肿瘤手术治疗的可行性、安全性和适当设置。肿瘤解剖由两名获得dV和dVS使用认证的胸外科专家以及另一名担任助手的专家进行。我们能够进入像纵隔这样难以到达的区域。所有切除的肿瘤组织学上均分类为良性肿瘤。这些手术成功的关键在于dV的设置，其根据纵隔肿瘤的位置而有所不同。与传统电视辅助胸腔镜手术（VATS）相比，机器人手术能够更安全、轻松地进行各种类型的纵隔肿瘤解剖。dV需要适当的设置配置，这根据纵隔肿瘤的位置而变化。
