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Operative Techniques in Thoracic and Cardiovascular Surgery
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License: Elsevier Non-Commercial
Data sources: UnpayWall
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Operative Techniques in Thoracic and Cardiovascular Surgery
Article . 2016 . Peer-reviewed
License: Elsevier Non-Commercial
Data sources: Crossref
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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Robotic Lobectomy: Right Upper Lobectomy

Authors: Veronesi G.; Novellis P.; Bottoni E.; Alloisio M.;

Robotic Lobectomy: Right Upper Lobectomy

Abstract

Evidence favors a minimally invasive approach for early-stage lung cancer. Video-assisted thoracoscopy is the technique most commonly used today, but the robotic approach is considered the future of minimally invasive surgery, above all because of its high-definition stereoscopic view, improved dexterity because of increased degrees of movement of the instruments, lack of the fulcrum effect, tremor filtration, and greater surgeon comfort. Two techniques have been described for robotic lobectomy: robotic-assisted thoracoscopic surgery (RATS) and complete portal robotic lobectomy. The RATS technique necessitates an anterior approach to the hilum and does not routinely use CO 2 insufflation; complete portal robotic lobectomy uses a posterior approach, with the specimen extracted at the end of surgery via a subcostal, transdiaphragmatic route. This article provides a step-by-step description of right upper lobectomy using a 4-arm RATS approach. The procedure is feasible and safe to perform for experienced surgeons. Although the incidence of severe intraoperative complications is low but potentially life-threatening, we believe the technique is valid for the minimally invasive treatment of lung cancer. Nonetheless, operator comfort should be the main factor influencing the choice of technique.

Country
Italy
Keywords

lung cancer; robotic lung lobectomy; robotic surgery

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    6
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Top 10%
Average
Average
hybrid
Related to Research communities
Cancer Research