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- W4386324963 abstract "Abstract Objectives: The introduction of the robotic stapler has made it possible to perform a robotic lobectomy from the console in complete autonomy. The robotic stapler fits a 12-mm port, which is larger than the standard 8-mm port and increases the risk of postoperative neuralgia. However, in many cases, to cover all possible angles of approach, two 12-mm ports are preferably placed. Meanwhile, limiting instruments and simplifying surgical procedures are also required to reduce costs. Methods: We assessed the feasibility of robotic lobectomy with a single type of robotic stapler inserted through one 12-mm port placed at the anterior tip of the lower intercostal space, and applied a SureForm45 Curved-Tip (Intuitive Surgical Inc., Sunnyvale, CA, USA) in a multicenter setting. We also investigated the potential cost-saving of using an additional 60-mm stapler for interlobar division. Results: A total of 135 lobectomy cases were enrolled. In all the cases, all stapling procedures were completed using a SureForm45 Curved-Tip inserted from the designated 12-mm port. We found that it was less expensive to use the SureForm60 if more than six SureForm45 Curved-Tips were needed for interlobar division. Nevertheless, in our series, only one case (0.7%) met this requirement. Conclusion: The use of a single type of stapler from one 12-mm port in a robotic lobectomy is a technically feasible approach, which expected to allow for surgical simplification, minimize the risk of neuralgia, and reduce inventory costs." @default.
- W4386324963 created "2023-09-01" @default.
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- W4386324963 date "2023-08-31" @default.
- W4386324963 modified "2023-09-27" @default.
- W4386324963 title "Robotic lobectomy with a single robotic stapler from one 12-mm port: a multi-institutional study" @default.
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- W4386324963 doi "https://doi.org/10.21203/rs.3.rs-3294582/v1" @default.
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