Moonsamy Philicia, Park Bernard
Division of Thoracic Surgery, Massachusetts General Hospital, 55 Fruit Street, Austen 7, Boston, MA 02114, USA.
Thoracic Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, Room C-879, New York, NY 10065, USA.
Thorac Surg Clin. 2023 Aug;33(3):283-289. doi: 10.1016/j.thorsurg.2023.04.006.
Uniportal video-assisted thoracic surgical (U-VATS) and telerobotic techniques have become widely adopted strategies for lung resection and represent a natural progression born of advancing technologic innovation and decades of expanding clinical experience. Combining the best that each approach offers may be the next logical step in the evolution of minimally invasive thoracic surgery. Two parallel efforts are underway: one that combines the traditional U-VATS incision with a multi-arm telerobotic platform and one that utilizes a new single-arm device. Feasibility and refinement of surgical technique will need to be achieved before any conclusions about efficacy can be drawn.
单孔电视辅助胸腔镜手术(U-VATS)和远程机器人技术已成为广泛应用于肺切除的策略,代表了技术创新不断推进以及数十年临床经验不断积累的自然发展。将每种方法的优势相结合可能是微创胸外科发展的下一个合理步骤。目前正在进行两项并行的努力:一项是将传统的U-VATS切口与多臂远程机器人平台相结合,另一项是使用新型单臂设备。在得出任何关于疗效的结论之前,需要先实现手术技术的可行性和完善性。