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每例单孔机器人辅助胸外科肺叶切除术及淋巴结清扫术的视频图谱。

Video atlas of each uniportal robotic-assisted thoracic surgery lobectomy and lymphadenectomy.

作者信息

Ismail Mahmoud, Waterhouse Benjamin R, Colman Alyx, Gonzalez-Rivas Diego, Dunning Joel

机构信息

Ernst von Bergmann Medical Center, Potsdam, Germany.

Department of Thoracic Surgery, James Cook University Hospital, Middlesbrough, UK.

出版信息

Ann Cardiothorac Surg. 2023 Mar 31;12(2):91-95. doi: 10.21037/acs-2022-urats-33. Epub 2023 Mar 28.

Abstract

It is important when evaluating new techniques that a surgeon can see and assess all the differences and similarities between their usual technique and the novel technique. Thus, we have collated a comprehensive atlas of videos of uniportal robotic lobectomies for every lobe. Surgeons who are considering embarking on a program of uniportal robotic lobectomies can accordingly see the different views and techniques that will be required for when they perform their first procedure. We have fully narrated the videos, so that you will be taken through each procedure. Whilst these five videos are fifty-five minutes in total, our intention is not necessarily for you to watch them all from start to finish, but rather, come to this video, select the lobe that you will shortly embark on, and watch it prior to your case so that you can visualise, as closely as possible, the procedure that you will be performing. We recommend that you watch the videos with your bedside assistant as the uniportal robotic lobectomy is a joint procedure between two surgeons, rather than a single surgeon's operation with an assistant. Though we have not provided videos on segmentectomies, the uniportal robotic lobectomy is an advanced technique and we are confident that advanced surgeons will be able to gain key insights with what has been included, even if they are proceeding to a segmentectomy for their first cases. We feel for an advanced surgeon, a segmentectomy will be just as suitable an operation as a lobectomy in the initial learning phase.

摘要

在评估新技术时,外科医生能够看到并评估他们常用技术与新技术之间的所有差异和相似之处非常重要。因此,我们整理了一份关于每个肺叶单孔机器人肺叶切除术的视频综合图谱。考虑开展单孔机器人肺叶切除术计划的外科医生可以据此看到他们进行首例手术时所需的不同视角和技术。我们对视频进行了完整的解说,以便您能了解每一个步骤。虽然这五个视频总共时长五十五分钟,但我们的目的不一定是让您从头到尾全部看完,而是希望您来到这个视频,选择您即将开展手术的肺叶,并在您的病例之前观看,这样您就能尽可能直观地了解您将要进行的手术。我们建议您与床边助手一起观看这些视频,因为单孔机器人肺叶切除术是两位外科医生之间的联合手术,而不是由一名外科医生主刀、一名助手协助的手术。虽然我们没有提供关于肺段切除术的视频,但单孔机器人肺叶切除术是一项先进技术,我们相信经验丰富的外科医生即使他们首例手术是进行肺段切除术,也能从已包含的内容中获得关键见解。我们认为对于经验丰富的外科医生来说,在初始学习阶段,肺段切除术与肺叶切除术一样适合作为手术选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d97/10080340/e3d3eaea5557/acs-12-02-91-vid.jpg

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