Herrera Luis, Escalon Juan, Johnston Matthew, Sanchez Alexis, Sanchez Renata, Mogollon Ivan
Cardiothoracic Surgeon, Orlando Regional Medical Center (ORMC), Rod Taylor Thoracic Cancer Care Center, Orlando Health, Orlando, FL, USA.
Corporate Director Robotic Surgery Program, Orlando Health, Orlando, FL, USA.
J Robot Surg. 2023 Apr;17(2):405-411. doi: 10.1007/s11701-022-01430-9. Epub 2022 Jun 22.
Robotic surgery provides significant advantages in terms of an optimal three-dimensional and magnified view of the surgical field, superior maneuverability of surgical instruments, removal of surgeon's tremor and excellent ergonomics. Nonetheless, the adoption of this technology in thoracic surgery has been slower than in other specialties such as urology, gynecology or digestive surgery. In this article we describe our institution's experience in robotic-assisted thoracic surgery (RATS) in the span from 2012 to 2020. During this time the average annual growth of the program has been 55%. Among the most frequently procedures performed were lobectomies, wedge resection and segmentectomies. Surgical time and length of stay decreased as the number of procedures performed increased, relative to the learning curve. Additional important elements considered relevant to the success of the program are the resources available, leadership, motivation of the surgical team, adequate and stepwise training, as well as the collection of data for periodic analysis of results. All those initiatives have led to a relevant improvement of financial variables reflecting a cost reduction.
机器人手术在提供手术视野的最佳三维放大视图、手术器械的卓越可操作性、消除外科医生的震颤以及出色的人体工程学方面具有显著优势。尽管如此，该技术在胸外科的应用速度比泌尿外科、妇科或消化外科等其他专科要慢。在本文中，我们描述了我们机构在2012年至2020年期间开展机器人辅助胸外科手术（RATS）的经验。在此期间，该项目的年平均增长率为55%。最常进行的手术包括肺叶切除术、楔形切除术和肺段切除术。相对于学习曲线，随着手术例数的增加，手术时间和住院时间缩短。与该项目成功相关的其他重要因素包括可用资源、领导力、手术团队的积极性、充分且循序渐进的培训，以及收集数据以定期分析结果。所有这些举措都使反映成本降低的财务变量得到了显著改善。
