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J Thorac Cardiovasc Surg 2006;131:19-20
© 2006 The American Association for Thoracic Surgery

Editorial

Robotics in thoracic surgery: Applications and outcomes

Thomas A. D'Amico, MD *

Department of Surgery, Duke University Medical Center.

Received for publication December 13, 2005; accepted for publication December 13, 2005.

* Address for reprints: Thomas A. D'Amico, MD, Department of Surgery, Duke University Medical Center, Box 3496, Durham, NC 27710. (Email: damic001@mc.duke.edu).

The first 20% of the full text of this article appears below.

GoRobotics has been used in numerous surgical procedures, but with few exceptions, this technologic advance has not been translated into improved outcomes. Many robotic applications have been unveiled as the manifestation a new idea in search of an application. The principal advantages of robotic assistance in surgical intervention are the greater degree of instrumental articulation and motion scaling. 1 Go However, despite these recognized technical advantages, the demonstration of superior results has been disappointing.

A significant clinical application for surgical robotics has been for resection of prostate cancer. In a prospective nonrandomized trial comparing robotic with conventional radical retropubic prostatectomy among 60 patients, Menon and colleaguesr 2 Go found that the robotic approach significantly reduced intraoperative blood loss and postoperative pain compared with the open approach. Furthermore, although the mean length of stay for patients in the conventional group was 4 days, two thirds of men undergoing robotic prostatectomy were discharged in less than 23 hours.

Robotic mitral . . . [Full Text of this Article]


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Robotic assistance for video-assisted thoracic surgical lobectomy: Technique and initial results
Bernard J. Park, Raja M. Flores, and Valerie W. Rusch
J. Thorac. Cardiovasc. Surg. 2006 131: 54-59. [Abstract] [Full Text] [PDF]





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