The use of articulated robotic instruments in the thoracic cavity allows for more elaborate and complicated movements, and anastomosis is one of the most useful and advantageous techniques among several specialties using robotic surgery. However, RATS anastomosis is not as common among thoracic surgeons because transection is a major procedure, and organ reconstructions are rarely performed in thoracic surgery. From Japan, Nakamura et al. reported their first experience with robotic bronchoplastic upper lobectomy for squamous cell carcinoma of the right hilum of the lung (23). The authors used deep and wide wedge resection and interrupted sutures, and reported accidentally cutting the suture several times while ligating, mainly because of the absence of a tactile sense and difficulty in tension control despite the fact that the robotic anastomotic procedure was performed smoothly. A recent study by Jiao et al. from China (24) concluded that robotic bronchial sleeve lobectomy anastomosis was both feasible and safe for carefully-selected patients. Although robotic bronchial anastomosis appears to be a highly-promising procedure for central lung cancer and locally-advanced lung cancer that requires the technique, the technique must be simplified through further technological modifications.
sense haruki vol 6
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