Robotics have begun being incorporated into the field of surgery over the past many years. Over this time, while significant innovation and research has been conducted for the efficiency and safety of them, the use of dual-site robotic surgery in synchronous malignancies in a single session has not been extensively reported.
Building on this, the first case of robotic surgery being carried out on the lung and oropharynx in a single session has been reported for the first time by surgeons in the Guy’s and St Thomas’ NHS Foundation Trust in London, UK.
In this case, a male (age 49) had been diagnosed with two primary malignancies: left tonsil squamous cell carcinoma and adenocarcinoma of right middle lobe of the lung. After a multidisciplinary discussion, it was decided that conventional surgery on the 2 separate anatomical locations may lead to significant morbidity. Therefore, a synchronous minimally invasive approach and subsequent adjuvant treatment was recommended. This synchronous minimally invasive approach involved robot-assisted thoracic surgery (RATS) and transoral robotic surgery (TORS) using the DaVinci Xi system.
The DaVinci Xi system allows surgeons to perform robot-assisted minimally invasive surgery. The term “robotic” can be misleading as some come to believe that the robots perform surgery, however this is not the case. In fact, the DaVinci Xi system enables surgeons to perform surgery using instruments that that the surgeon guides via a console. The system translates the surgeon’s real-time hand movements on the console (figure 1), to the instruments performing the procedure (figure 2). Another part of the DaVinci Xi system is its ability to show 3D high-definition, greatly magnified views of the area to requiring surgery.
Kelly M, Oikonomou G, Tornari C, Ahmad I, Bille A, Jeannon J-P, et al. OUP accepted manuscript. J Surg Case Reports [Internet]. 2020 [cited 2020 Sep 5];2020(8):1–3. Available from: /pmc/articles/PMC7449555/?report=abstract
Da Vinci Surgery | Da Vinci Surgical System | Robotic Technology [Internet]. [cited 2020 Sep 5]. Available from: https://www.davincisurgery.com/da-vinci-systems/about-da-vinci-systems
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