Ramadan Omar I, Wei Benjamin, Cerfolio Robert J
Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
J Vis Surg. 2017 Mar 8;3:22. doi: 10.21037/jovs.2017.01.06. eCollection 2017.
Minimally invasive thoracic surgery, when compared with open thoracotomy, has been shown to have improved perioperative outcomes as well as comparable long-term survival. Robotic surgery represents a powerful advancement of minimally invasive surgery, with vastly improved visualization and instrument maneuverability, and is increasingly popular for thoracic surgery. However, there remains debate over the best robotic approaches for lung resection, with several different techniques evidenced and described in the literature. We delineate our method for total port approach with four robotic arms and discuss how its advantages outweigh its disadvantages. We conclude that it is preferred to other robotic approaches, such as the robotic assisted approach, due to its enhanced visualization, improved instrument range of motion, and reduced potential for injury.
与开胸手术相比，微创胸外科手术已被证明可改善围手术期结局，并具有相当的长期生存率。机器人手术是微创手术的一项重大进展，具有大大改善的可视化和器械可操作性，在胸外科手术中越来越受欢迎。然而，对于肺切除的最佳机器人手术方法仍存在争议，文献中已证实并描述了几种不同的技术。我们阐述了使用四个机器人手臂的全端口入路方法，并讨论了其优点如何超过缺点。我们得出结论，由于其增强的可视化、改善的器械活动范围以及降低的受伤可能性，它比其他机器人手术方法（如机器人辅助入路）更可取。
