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

*この研究の対応する著者

研究成果: Review article査読

7 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)446-453
ページ数8
ジャーナルAnnals of Thoracic and Cardiovascular Surgery
17
5
DOI
出版ステータスPublished - 2011 10 25

ASJC Scopus subject areas

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学
  • 消化器病学

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