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Robotics in Thoracic Surgery

Robotics in Thoracic Surgery. William H. Messerschmidt, MD King’s Mountain Symposium October 25, 2013 Monarch Auditorium, Bristol, TN . Disclosures. Financial None Experimental I will not discuss experimental or off-label treatments. What Is Robotic Surgery ?.

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Robotics in Thoracic Surgery

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  1. Robotics in Thoracic Surgery William H. Messerschmidt, MD King’s Mountain Symposium October 25, 2013 Monarch Auditorium, Bristol, TN

  2. Disclosures • Financial • None • Experimental • I will not discuss experimental or off-label treatments

  3. What Is Robotic Surgery?

  4. da Vinci® Surgical System Overview

  5. Evolution of da Vinci®Technology 2009 • Enhanced HD Vision (1080i) • Dual Console option • Upgradable architecture Si Model Updates 2006 Thoracic Surgery • 3D HD Vision (720p) • Multi-quadrant access • Interactive video displays 2000 Hysterectomy S Model Updates • 3D Vision • EndoWrist Instrumentation • Intuitive® Motion Core Technology Prostatectomy PN 1000710 Rev B 1/13

  6. Robotic Surgery Adoption in the US 2012 2001 Prostatectomy Market 11 yrs Hysterectomy Market 2012 2005 Lap 14% Lap 16% Vag 22% dV 35% Vag 14% 7 yrs Open 64% Open 37% PN 1000710 Rev B 1/13

  7. VATS Adoption in the US Lobectomy Market 16 yrs • Difficult to reproduce • Counterintuitive orientation • Rigid instrumentation • 2D visualization PN 1000710 Rev B 1/13

  8. Roboticsfor Thoracic Surgery • Mediastinum: • Thymectomy • Posterior • Anterior • Pulmonary resection: • Lobectomy • Wedge resection • Foregut: • Nissen • Heller PN 875485 Rev A 12/11

  9. Why Robotic Lobectomy? Open Thoracotomy Robotic VATS Efficacy PN 875485 Rev A 12/11 Invasiveness

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