ArticleGeneral thoracic and cardiovascular surgery2021
Intraoperative complications and troubles in robot-assisted anatomical pulmonary resection.
Article in General thoracic and cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Single-Port Robotic-Assisted Approach in Thoracic Surgery: A Prospective Real-World Study.Interdisciplinary cardiovascular and thoracic surgery · 2025Trial
- Reduced incidence of significant vessel injury in robotic-assisted thoracic surgery compared with video-assisted thoracic surgery.Surgical endoscopy · 2026Article
- Team-based recovery from unexpected events beyond bleeding control in robot-assisted thoracic surgery.General thoracic and cardiovascular surgery · 2026Article
- Robot-Assisted Thoracic Surgery for Lung Cancer in Juntendo University -Safety and benefit.Juntendo medical journal · 2026Article
- One surgery, three approaches: perioperative outcomes and diagnostic strategies in robotic-assisted thymectomy.Surgical endoscopy · 2026Article
- Usefulness of final transection of the proximal pulmonary artery in robotic left upper lobectomy.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Robot-assisted thoracic surgery for lung cancer patients with incomplete fissure.Surgical endoscopy · 2022Article
- Causes and management of intraoperative complications in robot-assisted anatomical pulmonary resection for lung cancer.Journal of thoracic disease · 2022Article
- Robot-assistedJournal of thoracic disease · 2022Article
- Stapling of an endobronchial suction tube with the bronchus during robot-assisted right lower lobectomy: a case report.Surgical case reports · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveRegarding intraoperative complications and troubles during robot-assisted thoracic surgery, few data are available especially in Japan. This study was aimed to elucidate intraoperative complications and troubles in robotic anatomical lung resection, and to present managements and outcomes of those.
methodsThis was a retrospective singe-institutional study. The first 192 consecutive patients who underwent robot-assisted anatomical lung resection between January 2017 and August 2019 were evaluated. We examined the frequency, management and outcomes of intraoperative complications and troubles.
resultsOf the 192 eligible patients who underwent robotic anatomical lung resection, lobectomy was performed for 156 (81.2%), and segmentectomy for 36 (18.8%). Three (1.5%) required conversion to open thoracotomy. Of these, bleeding from the pulmonary artery was the cause in two patients (1.0%) and inflammatory adhesion of hilar lymph nodes in 1 (0.5%). Other intraoperative complications and troubles included bronchial injuries in 3 patients (1.5%), lung injury by assistant in one patient (0.5%) and horizontal movement limitation of da Vinci arm in one patient (0.5%). Regarding bronchial injuries, two of three were stump injuries related to stapling, the remaining was to dissection of the bronchial tissues. All bronchial repairs were completed without conversion, and postoperative complications related to bronchial injury were not observed. The 30-day and 90-day mortality rates were both 0%.
conclusionsThe frequency of intraoperative complications and troubles in robot-assisted thoracic surgery was low in our first series. All conversions were related to bleeding and impending bleeding, and no conversion was required for bronchial injury.
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