Training in robotic surgery using the da vinci ® surgical system for left pneumonectomy and lymph node dissection in an animal model

Naohiro Kajiwara, Masatoshi Kakihana, Jitsuo Usuda, Osamu Uchida, Tatsuo Ohira, Norihiko Kawate, Norihiko Ikeda

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    Objectives: In Japan, as of March 2010, only 13 hospitals were using the da Vinci system and only for selected cases. Few clinical robotic lung surgery has been done in Japan, and there are no standardized training programs, although some exist in the U.S. and are under consideration by the Japanese society for thoracic surgery. We have used the da Vinci S ® Surgical System for pneumonectomy and lymph node dissection in pigs. We report and review future possibilities and problems of robotic surgery, especially concerning education, training, safety management and ethical considerations for pneumonectomy and lymph node dissection in clinical practice. Methods: The da Vinci ® system consists of a surgeon's console connected to a patient-side cart, a manipulator unit with three instrument arms and a central arm to guide the endoscope. The surgeon, sitting at the console, triggers highly sensitive motion sensors that transmit the surgeon's movements to the instrument arm. Results: We experienced exactly the same sensation as when performing standard open thoracotomy. Visual recognition is 3-D, and the high manipulation potential allows free movement of the various accessory instruments, exceeding the capacity of a surgeon's hands in video-assisted thoracic surgery (VATS) or even standard thoracotomy. Conclusions: Robotic surgery achieves at least the same level of operation technique for pneumonectomy and lymph node dissection under standard open thoracotomy, and it seemed as safe and easily performed as conventional VATS. The training program using pigs was effective and holds promise as a system to train thoracic surgeons in robotic lung surgery.

    Original languageEnglish
    Pages (from-to)446-453
    Number of pages8
    JournalAnnals of Thoracic and Cardiovascular Surgery
    Volume17
    Issue number5
    DOIs
    Publication statusPublished - 2011 Oct 25

    Fingerprint

    Pneumonectomy
    Robotics
    Lymph Node Excision
    Animal Models
    Thoracotomy
    Video-Assisted Thoracic Surgery
    Arm
    Education
    Japan
    Swine
    Safety Management
    Lung
    Endoscopes
    Thoracic Surgery
    Thorax
    Hand
    Surgeons

    Keywords

    • Da vincispi surgical system
    • Educational and training systems
    • Robotic surgery

    ASJC Scopus subject areas

    • Surgery
    • Cardiology and Cardiovascular Medicine
    • Pulmonary and Respiratory Medicine
    • Gastroenterology

    Cite this

    Training in robotic surgery using the da vinci ® surgical system for left pneumonectomy and lymph node dissection in an animal model. / Kajiwara, Naohiro; Kakihana, Masatoshi; Usuda, Jitsuo; Uchida, Osamu; Ohira, Tatsuo; Kawate, Norihiko; Ikeda, Norihiko.

    In: Annals of Thoracic and Cardiovascular Surgery, Vol. 17, No. 5, 25.10.2011, p. 446-453.

    Research output: Contribution to journalArticle

    Kajiwara, Naohiro ; Kakihana, Masatoshi ; Usuda, Jitsuo ; Uchida, Osamu ; Ohira, Tatsuo ; Kawate, Norihiko ; Ikeda, Norihiko. / Training in robotic surgery using the da vinci ® surgical system for left pneumonectomy and lymph node dissection in an animal model. In: Annals of Thoracic and Cardiovascular Surgery. 2011 ; Vol. 17, No. 5. pp. 446-453.
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