Robotic Lobectomy with a Single Robotic Stapler from One 12-mm Port: A Multi-institutional Study
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Le résumé fourni par la source
Introduction of the robotic stapler has allowed robotic lobectomy to be performed from a surgical console in complete autonomy. The robotic stapler fits a 12-mm port, which is larger than the standard 8-mm port and increases the risk of postoperative pain. However, in many cases, to cover all possible angles of approach, two 12-mm ports are preferably used. However, limiting instrument inventory and simplifying surgical procedures are also desirable to reduce costs. In a multicenter study, we assessed the feasibility of robotic lobectomy with a single type of robotic stapler [SureForm45 Curved-Tip (SF45C); Intuitive Surgical Inc.] inserted through one 12-mm port placed at the anterior tip of the lower intercostal space. We also investigated the potential cost savings of using an additional 60-mm stapler for interlobar division. A total of 135 lobectomy cases were enrolled. In all cases, all stapling procedures were completed using the SF45C inserted from the designated 12-mm port. We found that it was potentially less expensive to use the SureForm60 stapler if more than six SF45C reloads were needed for interlobar division. However, in our series, only 1 case (0.7%) met this requirement. The use of a single type of stapler from one 12-mm port in a robotic lobectomy is technically feasible. This approach may be expected to allow for surgical simplification, minimize the risk of postoperative pain, and reduce inventory costs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Robotic Lobectomy with a Single Robotic Stapler from One 12-mm Port: A Multi-institutional Study
- Date Crossref
- 01/01/2024
- Éditeur
- Keio Journal of Medicine
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Southern Tohoku General Hospital Department of General Thoracic Surgery pays non établi dans la noticeÉtablissement de santé
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SHOWA Medical University pays non établi dans la noticeUniversité ou école supérieure
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Shin-yurigaoka General Hospital Department of Thoracic Surgery pays non établi dans la noticeÉtablissement de santé
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Saiseikai Yokohama-shi Tobu Hospital Department of General Thoracic Surgery pays non établi dans la noticeÉtablissement de santé
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Showa University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
Department of General Thoracic Surgery — Southern Tohoku General Hospital, SHOWA Medical University et Department of Thoracic Surgery — Shin-yurigaoka General Hospital, avec 2 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.