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Zentralbl Chir 2023; 148(S 01): S33-S40
DOI: 10.1055/a-1993-3249
Thoraxchirurgie
Originalarbeit

Roboterassistierte anatomische Lungenresektion: Technik, Evidenz und Datenlage

Robot-assisted Lung Surgery: Techniques, Evidence and Data on Anatomical Resections
Danjouma Cheufou
1   Klinik für Thoraxchirurgie, Klinikum Würzburg Mitte gGmbH, Würzburg, Deutschland
,
Jonas Mohnke
1   Klinik für Thoraxchirurgie, Klinikum Würzburg Mitte gGmbH, Würzburg, Deutschland
,
Victor Sander
1   Klinik für Thoraxchirurgie, Klinikum Würzburg Mitte gGmbH, Würzburg, Deutschland
,
Stefanie Weckesser
1   Klinik für Thoraxchirurgie, Klinikum Würzburg Mitte gGmbH, Würzburg, Deutschland
,
Mikhail Gronostayskiy
1   Klinik für Thoraxchirurgie, Klinikum Würzburg Mitte gGmbH, Würzburg, Deutschland
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Zusammenfassung

Die roboterassistierte Thoraxchirurgie (RATS) hat dank verbesserter Visualisierung und optimierter Instrumente (sog. Endowrist-Funktion) einen enormen technischen Fortschritt in der thoraxchirurgischen Versorgung von Patienten gebracht. Auch die Durchführung komplexer thorakaler oder mediastinaler chirurgischer Eingriffe, bspw. mit einer intrathorakalen Naht, sind nunmehr möglich. Infolgedessen wird diese Technologie zunehmend übernommen und in der therapeutischen Anwendung implementiert. Während die Zahl der konventionellen Thorakotomien bei Lungenkrebs weltweit zurückgeht, ist ein kontinuierlicher Anstieg der minimalinvasiven Resektionen beim Bronchialkarzinom zu beobachten. Ziel dieser Arbeit ist es, einen aktuellen Überblick über roboterassistierte Operationen beim Lungenkarzinom zu geben.

Abstract

Thanks to improved visualisation and instruments with an endowrist function, robot-assisted thoracic surgery has led to technical progress in thoracic surgery. This makes it easier to carry out complex thoracic surgical interventions, e.g. with an intrathoracic suture. As a result, this technology is increasingly being adopted and implemented in therapeutic use. Worldwide, the number of thoracotomies for lung cancer has decreased, while the number of minimally invasive surgical thoracic resections has increased. The aim of this work is to give an up-to-date overview of robotic operations on bronchial carcinoma.

Schlüsselwörter

RATS - Lobektomie - Segmentektomie - Roboterchirurgie - Lungenkarzinom

Keywords

RATS - lobectomy - segmentectomy - robotic surgery - lung cancer


Publikationsverlauf

Eingereicht: 20. September 2022

Angenommen nach Revision: 02. Dezember 2022

Artikel online veröffentlicht:
30. Januar 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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