Ramadan Omar I, Cerfolio Robert J, Wei Benjamin
Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
J Vis Surg. 2017 Feb 13;3:11. doi: 10.21037/jovs.2017.01.04. eCollection 2017.
Minimally invasive surgery (MIS) for lung cancer has been associated with decreased perioperative morbidity while maintaining similar long-term survival when compared to open thoracotomy. Robotic thoracic surgery constitutes an evolutionary step in this field, beckoning dramatic advancements both in visualization as well as surgical instrument range of motion and ergonomics. As such, robotic thoracic surgery is growing in adoption worldwide. One of its oft-cited disadvantages, however, is increased operative time, especially for less-experienced surgeons. We describe an assortment of tips and tricks that we conclude can safely reduce robotic operative duration.
与开胸手术相比,肺癌微创手术(MIS)可降低围手术期发病率,同时保持相似的长期生存率。机器人辅助胸外科手术是该领域的一项革命性进展,在可视化以及手术器械的活动范围和人体工程学方面都有显著进步。因此,机器人辅助胸外科手术在全球的应用正在不断增加。然而,其经常被提及的缺点之一是手术时间延长,尤其是对于经验不足的外科医生。我们描述了一系列技巧和窍门,我们认为这些技巧可以安全地缩短机器人手术时间。