Robot-Assisted Thoracoscopic Surgery with Simple Laparoscopy for Diaphragm Eventration

Abstract

Robot-assisted thoracoscopic surgery has been applied for general thoracic operations. Its advantages include not only those of minimally invasive surgery but also those of magnified three-dimensional vision and angulation of the robotic arm. However, there are no direct tactile sensation and force feedback, which can cause unwanted organ damage. We therefore used laparoscopy simultaneously to avoid a blind intraperitoneal area during robotic surgery for diaphragmatic eventration via transthoracic approach and describe the technique herein.

Keywords

diaphragm - diaphragmatic eventration - robot-assisted thoracoscopic surgery - laparoscopy

• References

• 1 Gharagozloo F, McReynolds SD, Snyder L. Thoracoscopic plication of the diaphragm. Surg Endosc 1995; 9 (11) 1204-1206
• 2 Freeman RK, Wozniak TC, Fitzgerald EB. Functional and physiologic results of video-assisted thoracoscopic diaphragm plication in adult patients with unilateral diaphragm paralysis. Ann Thorac Surg 2006; 81 (5) 1853-1857 , discussion 1857
• 3 Becmeur F, Talon I, Schaarschmidt K , et al. Thoracoscopic diaphragmatic eventration repair in children: about 10 cases. J Pediatr Surg 2005; 40 (11) 1712-1715
• 4 Benmessaoud C, Kharrazi H, MacDorman KF. Facilitators and barriers to adopting robotic-assisted surgery: contextualizing the unified theory of acceptance and use of technology. PLoS ONE 2011; 6 (1) e16395
• 5 Groth SS, Rueth NM, Kast T , et al. Laparoscopic diaphragmatic plication for diaphragmatic paralysis and eventration: an objective evaluation of short-term and midterm results. J Thorac Cardiovasc Surg 2010; 139 (6) 1452-1456