The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Robot-assisted major lung resection using the da Vinci Surgical System
The first case in Japan
Takashi SudaHiroshi SugimuraYuka KitamuraSachiko TochiiYoshinobu Hattori
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JOURNAL FREE ACCESS

2010 Volume 24 Issue 4 Pages 727-732

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Abstract
The da Vinci Surgical System is a telerobotic system consisting of 4 components, including the Insite vision system with a true 3-dimensional endoscope providing a high-resolution binocular view of the surgical field, and the Endo Wrist instrument system, which is capable of 7 degrees of freedom and 2 degrees of axial rotation to replicate human wrist-like movements. Right upper lobectomy + mediastinal lymph node dissection was performed in a 56-year-old woman with cT1bN0N0 stage IA lung adenocarcinoma. The operating time was 6 hours 48 minutes, and the blood loss was 234 g. The da Vinci Surgical System has useful advantages over conventional VATS surgery concerning the precise dissection of hilar structures and mediastinal lymph nodes. With further innovations in the future, the da Vinci Surgical System has the potential to facilitate technically difficult surgery employing conventional VATS techniques.
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© 2010 The Japanese Association for Chest Surgery
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