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Robotics in thoracic surgery part 2

Robotics in thoracic surgery part 2. Robotics Improve Reproducibility of Minimally Invasive Lobectomy. Lobectomy Market. 3 yrs. 3D HD Vision. Wristed Instrumentation. Intuitive Motion. PN 1000710 Rev B 1/13. Lung Cancer Epidemiology. Lung cancer incidence

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Robotics in thoracic surgery part 2

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  1. Robotics in thoracic surgery part 2

  2. Robotics Improve Reproducibility of Minimally Invasive Lobectomy Lobectomy Market 3 yrs 3D HD Vision Wristed Instrumentation Intuitive Motion PN 1000710 Rev B 1/13

  3. Lung Cancer Epidemiology Lung cancer incidence 3rd most common cancer, leading cause of cancer death1 221,000 new diagnoses per year1 30% NSCLSC stage I and II Surgical resection is recommended for stage I, II, and some IIIa NSCLC2 References: 1American Cancer Society. Cancer facts & figures 2011. Atlanta: American Cancer Society; 2011. 2National Comprehensive Cancer Network. NCCN practice guidelines in oncology: non-small cell lung cancer. Version 2.2012.

  4. Current Treatment Modalities for Surgically Resectable Disease Open thoracotomy VATS w/utility thoracotomy

  5. Robotic Lobectomy Surgeon Benefits Autonomous control of the camera and instruments 3DHD Visualization Dynamic exposure and retraction of tissues1 Complete and simple resection of all N1 and N2 lymph nodes1,2 Intuitive Motion Low conversions and simplification of minimally invasive thoracic surgery2 EndoWrist Instruments Improved capability for performing pulmonary resection on large tumors (7-9cm)1,3 1Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Results of, and technical advancements to, completely portal robotic pulmonary resection using 4 arms (CPRL-4). Submitted to JTCVS April 2011. 2Kernstine KH, Anderson CA, Falabella A. Robotic lobectomy. Operative techniques in thoracic and cardiovascular surgery, 2008:204.e1- 204.e23. 3Dylewski MR, Ohaeto AC,Pereira JF: Pulmonary resection using a total endoscopic robotic video-assisted approach. Seminars in Thoracic and Cardiovascular Surgery, 2011. In-press.

  6. Robotic Lobectomy

  7. Adoption of Robotic Lobectomy: 2008 100 cases

  8. Robotic Lobectomy Patient Benefits • Compared to open surgery. • 1 Cerfolio RJ, Bryant AS, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J ThoracCardiovasc Surg. 2011 Oct;142(4):740-6. Epub 2011 Aug 15. 2 Dylewski MR, Ohaeto AC, et al. Pulmonary resection using a total endoscopic robotic video-assisted approach. SeminThoracCardiovasc Surg. 2011 Spring;23(1):36-42. 3 Veronesi G, Galetta D, et al. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J ThoracCardiovascSurg, 2010;140(1):19-25.

  9. Robotic Lobectomy Clinical Outcomes Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg. 2011 Oct;142(4):740-6. Epub 2011 Aug 15.

  10. BRMC Robotic Thoracic Surgical Experience 30 total cases 2 lobectomies 0% mortality Low morbidity

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