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[PDF: Members Only] J.Jpn. Surg. Soc.. 123(6): 546-552, 2022
Feature topic
CURRENT STATUS AND FUTURE PROSPECTS OF ROBOT-ASSISTED SURGERY: LUNG・MEDIASTINUM
Robotic-assisted thoracic surgery has been spreading rapidly since its inclusion in health insurance coverage in 2018. While indications for segmentectomy, advanced cancer, large invasive tumors, etc. are also expanding, its advantages compared with thoracoscopic surgery, which is the same minimally invasive operation, are being clarified. Although there is no significant difference in perioperative outcomes and radicality in large-scale retrospective studies, robot-assisted surgery, which has good operability and is capable of meticulous surgery, is very attractive. In addition, some randomized, prospective, comparative studies with thoracoscopic surgery in robot-assisted pulmonary lobectomy for lung cancer have finally been reported. As a result, while noninferiority compared with thoracoscopic surgery was confirmed, usefulness in lymph node dissection in terms of dissection number and upgrade rate has also been shown. Robot-assisted surgery is still developing, and bright future prospects are expected. With the advent of new surgical robots and the inclusion of AI technology, robot-assisted surgery will become even closer to the ideal thoracic surgery. On the other hand, robot-assisted surgery still has many problems, and attention should be paid to the importance of education and training as well as safety management. In this paper, we consider the present status of robot-assisted thoracic surgery and look at its future prospects.
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