Additional Information
Book Details
Abstract
This issue of Thoracic Surgery Clinics is devoted to "Robotic Surgery." Editor Bernard Park, MD of Hackensack University Medical Center brings together the top experts to review this important topic in thoracic surgery. Articles in this issue include: Robotic Thoracic Surgery: Technical Considerations and Learning Curve; VATS-based Approach for Robotic Lobectomy; Total Port Approach for Robotic Lobectomy; Long-term Results for Robotic Lobectomy for Lung Cancer; Robotic Segmentectomy and Pneumonectomy; Robotic Benign Esophageal Procedures; Robotic Esophagectomy (Ivor Lewis and McKeown Approaches); Robotic Thymectomy for Myasthenia Gravis; Robotic Thymectomy for Thymic Neoplasms; and Robotic versus Video-Assisted Thoracic Surgery: Advantages and Disadvantages.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Robotic Surgery | i | ||
| copyright\r | ii | ||
| Contributors | iii | ||
| Contents | v | ||
| Thoracic Surgery Clinics\r | viii | ||
| Preface\r | ix | ||
| Robotic Thoracic Surgery | 135 | ||
| Key points | 135 | ||
| Components of the telerobotic surgical system | 136 | ||
| Techniques for pulmonary resection | 136 | ||
| Preoperative assessment and indications | 136 | ||
| Surgical technique | 137 | ||
| Patient Positioning and Port Placement | 137 | ||
| Hilar Dissection | 137 | ||
| Fissure Completion and Lobe Removal | 138 | ||
| Mediastinal Lymph Node Dissection | 138 | ||
| Postoperative care | 138 | ||
| Reported clinical outcomes | 138 | ||
| Learning and training | 139 | ||
| Summary | 140 | ||
| Supplementary data | 141 | ||
| References | 141 | ||
| VATS-based Approach for Robotic Lobectomy | 143 | ||
| Key points | 143 | ||
| Introduction | 143 | ||
| Surgical technique | 144 | ||
| Components of the Telerobotic Surgical System | 144 | ||
| Preoperative and Patient Positioning | 144 | ||
| Robotic Dissection | 145 | ||
| Steps for specific anatomic resections | 146 | ||
| Right Upper Lobectomy | 146 | ||
| Middle Lobectomy | 146 | ||
| Right Lower Lobectomy | 146 | ||
| Left Upper Lobectomy | 146 | ||
| Left Lower Lobectomy | 146 | ||
| Personal experience | 146 | ||
| Comment | 147 | ||
| References | 148 | ||
| Total Port Approach for Robotic Lobectomy | 151 | ||
| Key points | 151 | ||
| Operative methods | 152 | ||
| Results | 153 | ||
| Discussion | 154 | ||
| References | 156 | ||
| Robotic Lobectomy for Non–Small Cell Lung Cancer | 157 | ||
| Key points | 157 | ||
| Methods | 157 | ||
| Technique of Robotic Lobectomy | 158 | ||
| Surveillance and Follow-Up | 158 | ||
| Results | 158 | ||
| Comment | 159 | ||
| Summary | 161 | ||
| References | 161 | ||
| Robot-assisted Lung Anatomic Segmentectomy | 163 | ||
| Key points | 163 | ||
| Introduction | 163 | ||
| Surgical technique | 164 | ||
| Preoperative Planning | 164 | ||
| Robot Preparation and Patient Positioning | 164 | ||
| Port Placement | 164 | ||
| Posterior Segmentectomy, Right Upper Lobe | 164 | ||
| Anterior Segmentectomy, Right Upper Lobe | 165 | ||
| Upper Segmentectomy, Right or Left Lower Lobe | 165 | ||
| Trisegmentectomy of Left Upper Lobe (Lingula-sparing Lobectomy) | 166 | ||
| Lingulectomy | 166 | ||
| Basilar Segmentectomy of Left or Right Lower Lobe | 166 | ||
| Mediastinal Lymph Node Dissection | 166 | ||
| Immediate postoperative care | 166 | ||
| Rehabilitation and recovery | 166 | ||
| Clinical results in the literature | 167 | ||
| Summary | 167 | ||
| Supplementary data | 168 | ||
| References | 168 | ||
| Robotic Pneumonectomy | 169 | ||
| Key points | 169 | ||
| Introduction: nature of the problem | 169 | ||
| Surgical technique | 169 | ||
| Indications and Patient Selection | 169 | ||
| Preoperative Planning | 170 | ||
| Preparation and Patient Positioning | 170 | ||
| Three-arm set up | 170 | ||
| Four-arm set up (Completely Portal Robotic Lobectomy-4) | 171 | ||
| Surgical Procedure | 171 | ||
| Immediate Postoperative Care | 172 | ||
| Clinical results in the literature | 172 | ||
| Summary | 174 | ||
| References | 175 | ||
| Thoracoscopic Versus Robotic Approaches | 177 | ||
| Key points | 177 | ||
| Introduction | 177 | ||
| Thoracoscopic versus robotic thoracic procedures | 178 | ||
| Logistics and Personnel | 178 | ||
| Positioning, Port Setup, and Camera | 178 | ||
| Instrumentation | 179 | ||
| Training | 179 | ||
| Cost | 180 | ||
| Telesurgery | 180 | ||
| Robotic versus thoracoscopic thymectomy | 180 | ||
| Robotic versus thoracoscopic pulmonary resection | 181 | ||
| Robotic versus thoracoscopic esophageal surgery | 183 | ||
| Antireflux Procedures | 183 | ||
| Heller Myotomy | 183 | ||
| Esophagogastrectomy | 183 | ||
| Summary | 184 | ||
| References | 184 | ||
| Robotic Thymectomy for Myasthenia Gravis | 189 | ||
| Key points | 189 | ||
| Introduction: nature of the problem | 189 | ||
| Surgical technique | 189 | ||
| Preoperative Planning | 189 | ||
| Variations of Robotic Operative Approach: Which Side? | 190 | ||
| Preparation and Patient Positioning | 191 | ||
| Surgical procedure | 191 | ||
| Immediate Postoperative Care | 192 | ||
| Rehabilitation and Recovery | 193 | ||
| Clinical results in the literature | 193 | ||
| Summary | 194 | ||
| References | 194 | ||
| Robotic Thymectomy for Thymic Neoplasms | 197 | ||
| Key points | 197 | ||
| Introduction | 197 | ||
| Surgical technique | 198 | ||
| Preoperative Planning | 198 | ||
| Preparation and Patient Positioning | 198 | ||
| Surgical Approach | 198 | ||
| General Preparation | 198 | ||
| Surgical Procedure | 199 | ||
| Step 1: port placement | 199 | ||
| Step 2: dissection | 199 | ||
| Step 3: specimen retrieval and closure | 199 | ||
| Immediate Postoperative Care | 200 | ||
| Reasons for converting to open approach | 200 | ||
| Clinical results in the literature | 200 | ||
| Summary | 200 | ||
| References | 200 | ||
| Robotic Esophagectomy | 203 | ||
| Key points | 203 | ||
| Introduction | 203 | ||
| Surgical technique | 204 | ||
| Preoperative Planning | 204 | ||
| Preparation and patient positioning | 204 | ||
| Thoracic Phase | 204 | ||
| Intrathoracic esophageal mobilization | 205 | ||
| Abdominal and Neck Phases | 206 | ||
| Immediate postoperative care | 207 | ||
| Rehabilitation and recovery | 207 | ||
| Clinical results in the literature | 207 | ||
| Summary | 208 | ||
| References | 208 | ||
| Robotic-Assisted Minimally Invasive Esophagectomy | 211 | ||
| Key points | 211 | ||
| Introduction: nature of the problem | 211 | ||
| Surgical technique | 212 | ||
| Preoperative Planning | 212 | ||
| Preparation and Patient Positioning | 212 | ||
| Surgical Approach and Port Placement | 212 | ||
| Surgical procedure: abdominal phase | 214 | ||
| Step 1: Initial Hiatal Dissection | 214 | ||
| Step 2: Retrogastric Dissection | 214 | ||
| Step 3: Gastric Mobilization | 214 | ||
| Step 4: Pyloroplasty | 214 | ||
| Step 5: Gastric Conduit Formation | 214 | ||
| Surgical procedure: thoracic phase | 215 | ||
| Step 6: En Bloc Esophageal Mobilization | 215 | ||
| Step 7: Creation of Circular Stapled Anastomosis | 215 | ||
| Securing the stapler anvil | 215 | ||
| Stapler insertion and firing | 215 | ||
| Immediate postoperative care | 216 | ||
| Clinical results in the literature | 216 | ||
| Summary | 221 | ||
| Supplementary data | 221 | ||
| References | 221 | ||
| Robotic Benign Esophageal Procedures | 223 | ||
| Key points | 223 | ||
| Introduction | 223 | ||
| History and general considerations | 223 | ||
| The Development of Robotic Esophageal Surgery | 223 | ||
| Advantages and Disadvantages of Robotic Esophageal Surgery | 224 | ||
| Operating-Room Setup | 224 | ||
| Diagnosis and Assessment | 224 | ||
| Specific Robotic Surgical Procedures | 225 | ||
| Abdominal procedures | 225 | ||
| Robotic-Assisted Laparoscopic Port Placement | 225 | ||
| Achalasia | 225 | ||
| Epiphrenic Diverticulum | 226 | ||
| Nissen Fundoplication and Giant Paraesophageal Hernia Repair | 226 | ||
| Chest procedures | 227 | ||
| Chest Port Placement | 227 | ||
| Robotic Cyst and Benign Mass Excision | 228 | ||
| Summary | 228 | ||
| References | 228 | ||
| Index | 231 |