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Anwendung des daVinci-Robotersystems in der Thoraxchirurgie

Application of the da Vinci robotic system in thoracic surgery

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Zusammenfassung

Hintergrund

Die neueste technische Weiterentwicklung in der minimal-invasiven Thoraxchirurgie ist durch die roboterassistierten Operationsverfahren charakterisiert. Die roboterassistierte Thymektomie gilt in diesem Teilbereich als die am weitesten entwickelte Methode.

Methoden

Es wurden eine systematische Literaturrecherche (PubMed, Medline) durchgeführt und Datenbanken von Intuitive Surgical (Sunnyvale, CA, USA) analysiert. Zielkriterien der Analyse waren die quantitativen Daten im zeitlichen Verlauf, technische Vorteile und limitierende Faktoren der roboterassistierten Thoraxchirurgie.

Ergebnisse

Seit 2001 wird das daVinci-Robotersystem in der Thoraxchirurgie eingesetzt. Bis einschließlich 2012 wurden weltweit 10.895 roboterassistierte Lobektomien durchgeführt; 12 ektope, im Mediastinum gelegene Nebenschilddrüsen wurden reseziert und publiziert. Weiterhin wurden mehr als 3500 roboterassistierte Thymektomien vorgenommen. Besonders für die Thymektomie und Lungenresektion ist ein schneller Anstieg der Operationszahlen nachweisbar.

Diskussion

Die Akzeptanz der roboterassistierten Thymektomie bei Myasthenie und/oder Thymom sowie anderen mediastinalen Tumoren wächst schnell. Auch für die anatomischen Lungenresektionen bei Lungenkarzinom ist die roboterassistierte Hilus- und Lymphknotendissektion aufgrund dieser neuen Qualität der offenen Operationstechnik inzwischen vergleichbar. Die Grundlage bilden die intrinsischen technischen Vorteile des daVinci-Robotersystems.

Abstract

Introduction

The latest technical developments of minimally invasive thoracic surgery are characterized by robotic-assisted operative procedures. Robotic-assisted thymectomy is the most advanced method in this field.

Methods

A systematic literature search (PubMed, Medline) was carried out and the databank system of Intuitive Surgical (Sunnyvale, CA) was analysed. Target criteria were the analysis of the quantitative data over time, technical advantages and limiting factors of robotic-assisted thoracic surgery.

Results

The da Vinci robotic system has been used in thoracic surgery since 2001, and up to 2012 a total of 10,895 robotic-assisted lobotomies have been carried out worldwide. A total of 12 ectopic parathyroid glands in the mediastinum were resected and published. Furthermore, more than 3,500 cases of robotic-assisted thymectomy were performed. A rapid increase in the number of operations has occurred particularly for thymectomy and lung resections.

Discussion

Acceptance of robotic-assisted thymectomy for myasthenia and/or thymoma and mediastinal tumors is growing rapidly. For anatomic lung resection in lung cancer, robotic-assisted hilar and lymph node dissection due to this new quality are also comparable to open surgical techniques. The principles form the intrinsic technical advantages of the da Vinci robotic system.

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Einhaltung der ethischen Richtlinien

Interessenkonflikt. M. Ismail, M. Swierzy, M. Ulrich und J.C. Rückert geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Klinik für Allgemein-, Visceral-, Gefäß- und Thoraxchirurgie, Charité - Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland

    M. Ismail, M. Swierzy, M. Ulrich &  J.C. Rückert

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  1. M. Ismail
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  2. M. Swierzy
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Correspondence to J.C. Rückert.

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Ismail, M., Swierzy, M., Ulrich, M. et al. Anwendung des daVinci-Robotersystems in der Thoraxchirurgie. Chirurg 84, 643–650 (2013). https://doi.org/10.1007/s00104-013-2502-3

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