Uniportal robotic assisted surgery for anatomical lung resection : first German experience
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Abstract
Background: Uniportal robotic‐assisted thoracic surgery (uRATS) has emerged as a
promising technique with potential advantages over multiportal approaches. This
study aims to evaluate our initial outcomes of uRATS.
Material and Methods: Five patients underwent anatomic lung resections with
systematic nodal dissection through a uniportal robotic approach by one surgeon.
The results were compared to the results of the first five uniportal video‐assisted
thoracic surgery (uVATS) anatomical resections performed by the same surgeon.
Results: No adverse events occurred during the uRATS‐procedures. Comparable
surgical outcomes were observed between uRATS and uVATS, including hospital
stays, complication rates, and blood loss. The average procedural time was slightly
but non‐significantly longer in the uRATS‐group. Average pain‐scores were lower in
the uRATS group. One patient in each group experienced major postoperative
complications, with one case of in‐hospital mortality in the uRATS‐group.
Conclusion: The outcomes of uRATS/uVATS were comparable, highlighting the
potential and the feasibility of this technique. Prospective studies comparing the
learning curves, complication rate and hospital‐stay are required in order to justify
the superiority of robotics over uVATS.
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The international journal of medical robotics and computer assisted surgery, Version of Record (VoR), Wiley, Chichester, 2023, https://doi.org/10.1002/rcs.2580