Die roboterassistierte Thorakoskopie (RATS) erlaubt dem Chirurgen komplexere Präparationen in der Thoraxhöhle als die videoassistierte Thorakoskopie. Für den Anästhesisten geht sie mit
starken Veränderungen seines Arbeitsumfelds einher – und mit direkten Auswirkungen auf die kardiorespiratorische Funktion des Patienten. Dieser Beitrag beleuchtet die Besonderheiten der
RATS-Chirurgie für beide Teams und stellt die wichtigsten Indikationen vor.
Abstract
In the last decade robotic-assisted thoracoscopic surgery (RATS) emerged as a new minimally invasive surgical modality to operate pulmonary, mediastinal and esophageal diseases. Superior to
video-assisted thoracoscopic surgery (VATS), RATS affords accurate surgical manipulation in spatially confined anatomical regions. Numerous surgical case studies demonstrated technical
reliability and oncological equivalence of RATS compared to open surgery and VATS. Consequently, the number of RATS operations for oncological and non-oncological resections is rising
rapidly. The lacking evidence of therapy improvement in the context of significantly increased treatment costs slows the development. Currently, various new companies introduce new robotic
surgical platforms into the market and it is expected that market competition will change the costs of these modern therapies. This article summarizes the technical features of RATS and its
anesthesiologic implications for patient management.
Schlüsselwörter
Thoraxchirurgie - roboterassistierte Chirurgie - Lungenresektion - Mediastinaltumor - Thymusresektion
Keywords
thoracic surgery - robotic-assisted surgery - lung resection - mediastinal tumours - thymus resection
