WCLC 2025 - Posters & ePosters-EP.07.36 Introduciton of Dural-Port Robot Assisted Thoracoscopic Lung Disection - Aiming for Reduce-Port RATS That Anyone Can Do

EP.07.36 Introduciton of Dural-Port Robot Assisted Thoracoscopic Lung Disection - Aiming for Reduce-Port RATS That Anyone Can Do

Back to course

Pdf Summary

This presentation from Daiyukai General Hospital introduces Dual-Port Robot-Assisted Thoracoscopic Surgery (DRATS) for lung dissection, aiming to reduce the number of ports required in robot-assisted thoracoscopic surgery (RATS) while maintaining precision and accessibility. RATS typically requires multiple ports and skilled assistants to handle staplers and sealing devices, which can be a barrier. DRATS reduces ports to two and eliminates dependence on highly skilled assistants, making the procedure more universally accessible.<br /><br />The DRATS procedure uses the da Vinci Xi Surgical System with specific arm arrangements depending on the lung side operated on, employing a 4–4.5 cm main port and a secondary 2 cm port for stapling. Instrumentation involves Fenestrated bipolar forceps, curved dissectors, and Synchro Seal devices. Stapling is conducted through the secondary port by the operating surgeon, avoiding reliance on the assistant. The bedside assistant supports surgical field exposure with long curved suction and cotton aids.<br /><br />Results from ten cases showed operation times averaging 217.5 minutes with no major complications, comparable to multiport RATS outcomes. DRATS offers cost benefits due to fewer ports and simpler instrumentation compared to other approaches like the da Vinci SP system, which is costly and relies heavily on the assistant for stapling.<br /><br />The discussion compares DRATS with uniportal RATS methods, emphasizing that previous methods require skilled assistants to handle staplers, limiting broader adoption. DRATS addresses this by allowing the primary surgeon to control stapling, thus removing the assistant skill dependency.<br /><br />In conclusion, DRATS lung dissection is a promising, less complex, and more accessible approach that maintains surgical efficacy while minimizing instrument interference and costs. Further clinical case accumulation is needed to confirm long-term safety and curability.

Asset Subtitle

Hiroki Numanami

Meta Tag

Speaker Hiroki Numanami

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

Dual-Port Robot-Assisted Thoracoscopic Surgery

DRATS

lung dissection

robot-assisted thoracoscopic surgery

RATS

da Vinci Xi Surgical System

minimally invasive surgery

surgical ports reduction

stapling technique

surgical assistant dependency