ArticleThe Annals of thoracic surgery2019
Incidence, Management, and Outcomes of Intraoperative Catastrophes During Robotic Pulmonary Resection.
Article in The Annals of thoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Prevention and management of pulmonary vascular complications in anatomic lung resections: a narrative review.Journal of thoracic disease · 2026Review
- The expert consensus document on minimally invasive upper lobectomy for lung cancer in China.Journal of thoracic disease · 2026Review
- Safe transition from video-assisted thoracic surgery to robotic-assisted thoracic surgery: early experience and stepwise learning curve of robotic-assisted thoracic surgery.Journal of thoracic disease · 2026Article
- Preliminary translational assessment of robotic surgery skills for vascular dissection: from simulator to in vivo porcine model.Journal of robotic surgery · 2026Article
- Incidence and outcomes of pulmonary artery injury during anatomical lung resection for lung cancer: a nationwide database study in Japan.Surgery today · 2026Article
- Robotic-Assisted Thoracic Surgery in the Immunotherapy Era: Navigating Altered Anatomy, Oncologic Precision, and the Future of Integrated Platforms.Journal of clinical medicine · 2026Review
- Control before crisis: A six-step robotic approach to pulmonary artery management.JTCVS techniques · 2026Article
- Perioperative outcomes of extended robotic-assisted thoracic surgery with combined resection of adjacent structures.JTCVS open · 2026Article
- Management of serious complications in robotic-assisted thoracoscopic surgery.JTCVS techniques · 2026Article
- Preoperative imaging assessment of neurogenic tumors at the thoracic apex to determine suitability for robotic surgery.General thoracic and cardiovascular surgery · 2025Article
- Intraoperative Repair of Bronchial Damage Following Robotic Segmentectomy.Thoracic cancer · 2025Article
- Implementation of a robotic-assisted thoracic surgery program for anatomical lung resections, a single surgeon's experience.Journal of thoracic disease · 2025Article
- Factors affecting the short-term outcomes of robotic-assisted thoracoscopic surgery for lung cancer.Surgery today · 2024Article
- Usefulness of final transection of the proximal pulmonary artery in robotic left upper lobectomy.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Design and preliminary validation of a high-fidelity vascular simulator for robot-assisted manipulation.Scientific reports · 2024Article
- Challenges in Robotic Lung Lobectomy through the Anterior Approach.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024Article
- Multiport robotic anatomic lung resections: a dodecalogue for neophytes.Journal of visualized surgery · 2024Review
- Tailored Practical Simulation Training in Robotic Surgery: A New Educational Technology.Annals of thoracic surgery short reports · 2023Article
- Approaches and outcomes of Robotic-Assisted Thoracic Surgery (RATS) for lung cancer: a narrative review.Journal of robotic surgery · 2023Review
- Adopting the robotic platform for anatomic lung resections: real life lessons for the tech enthusiast.Journal of thoracic disease · 2023Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundIntraoperative catastrophes during robotic anatomical pulmonary resections are potentially devastating events. The present study aimed to assess the incidence, management, and outcomes of these intraoperative catastrophes for patients with primary lung cancers.
methodsThis was a retrospective, multiinstitutional study that evaluated patients who underwent robotic anatomical pulmonary resections. Intraoperative catastrophes were defined as events necessitating emergency thoracotomy or requiring an additional unplanned major surgical procedure. Standardized data forms were collected from each institution, with questions on intraoperative management strategies of catastrophic events.
resultsOverall, 1810 patients underwent robotic anatomical pulmonary resections, including 1566 (86.5%) lobectomies. Thirty-five patients (1.9%) experienced an intraoperative catastrophe. These patients were found to have significantly higher clinical TNM stage (P = .031) and lower forced expiratory volume in 1 second (81% vs 90%; P = .004). A higher proportion of patients who had a catastrophic event underwent preoperative radiotherapy (8.6% vs 2.3%; P = .048), and the surgical procedures performed differed significantly compared with noncatastrophic patients. Patients in the catastrophic group had higher perioperative mortality (5.7% vs 0.5%; P = .018), longer operative duration (195 minutes vs 170 minutes; P = .020), and higher estimated blood loss (225 mL vs 50 mL; P < .001). The most common catastrophic event was intraoperative hemorrhage from the pulmonary artery, followed by injury to the airway, pulmonary vein, and liver. Detailed management strategies were discussed.
conclusionsThe incidence of catastrophic events during robotic anatomical pulmonary resections was low, and the most common complication was pulmonary arterial injury. Awareness of potential intraoperative catastrophes and their management strategies are critical to improving clinical outcomes.
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