Matsumoto Jun, Hiyama Noriko, Yanagiya Masahiro
Department of Thoracic Surgery, NTT Medical Center Tokyo, Tokyo, Japan.
Kyobu Geka. 2020 Apr;73(4):250-255.
In the pursuit of minimally invasive surgery, there is no objection to the replacement of conventional open surgery with robotic surgery in highly difficult cases of pulmonary and mediastinal tumors. However, compared to video-assisted thoracoscopic surgery, the benefits of performing robotic surgery in standard lung cancer cases are few. A surgeon with master robotic skills, in addition to excellent 3-dimensional( 3D) camera control, can effectively use a retraction arm instead of increasing the number of the port. We think that such a surgeon can have an extremely high success rate. We started performing robotic surgery in September 2018 and have had more than 70 cases since then. We developed a manual to promote patient safety and common understanding between the operator and surgical assistants. In this manuscript, we introduce our current robotic surgery technique for lung cancer. The current status, problems, and the future of robotic thoracic surgery are also described.
在追求微创手术的过程中，对于在肺部和纵隔肿瘤等高度困难的病例中用机器人手术取代传统开放手术并无异议。然而，与电视辅助胸腔镜手术相比，在标准肺癌病例中进行机器人手术的益处较少。一位具备精湛机器人手术技能的外科医生，除了出色的三维（3D）摄像头控制能力外，还能有效地使用牵引臂而非增加切口数量。我们认为这样的外科医生可以获得极高的成功率。我们于2018年9月开始开展机器人手术，自那时起已完成70多例手术。我们编写了一本手册以促进患者安全以及手术操作者与助手之间的共同理解。在本手稿中，我们介绍了我们目前用于肺癌的机器人手术技术。同时也描述了机器人胸外科手术的现状、问题及未来发展。
