Latif M Jawad, Park Bernard J
Thoracic Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
J Vis Surg. 2017 Apr 10;3:44. doi: 10.21037/jovs.2017.03.14. eCollection 2017.
The use of robotic technology in general thoracic surgical practice continues to expand across various institutions and at this point many major common thoracic surgical procedures have been successfully performed by general thoracic surgeons using the robotic technology. These procedures include lung resections, excision of mediastinal masses, esophagectomy and reconstruction for malignant and benign esophageal pathologies. The success of robotic technology can be attributed to highly magnified 3-D visualization, dexterity afforded by 7 degrees of freedom that allow difficult dissections in narrow fields and the ease of reproducibility once the initial set up and instruments become familiar to the surgeon. As the application of robotic technology trickle downs from major academic centers to community hospitals, it becomes imperative that its role, limitations, learning curve and financial impact are understood by the novice robotic surgeon. In this article, we share our experience as it relates to the setup, common pitfalls and long term results for more commonly performed robotic assisted lung and thymic resections using the 4 arm da Vinci Xi robotic platform (Intuitive Surgical, Inc., Sunnyvale, CA, USA) to help guide those who are interested in adopting this technology.
机器人技术在普通胸外科手术中的应用在各个机构中持续扩展，目前许多常见的主要胸外科手术已由普通胸外科医生使用机器人技术成功完成。这些手术包括肺切除术、纵隔肿物切除术、食管癌切除术以及针对恶性和良性食管病变的重建手术。机器人技术的成功可归因于高度放大的三维可视化、由七个自由度提供的灵活性，这使得在狭窄区域进行困难的解剖成为可能，并且一旦外科医生熟悉了初始设置和器械，就易于重复操作。随着机器人技术的应用从主要学术中心逐渐普及到社区医院，新手机器人外科医生必须了解其作用、局限性、学习曲线和财务影响。在本文中，我们分享我们的经验，这些经验涉及使用四臂达芬奇Xi机器人平台（直观外科公司，美国加利福尼亚州桑尼维尔）进行更常见的机器人辅助肺和胸腺切除术的设置、常见陷阱和长期结果，以帮助指导那些有兴趣采用这项技术的人。
