Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature
Background: Robotic surgery is increasingly used in the treatment of lung disease. Intraoperative catastrophes, despite their low incidence, are currently a critical aspect of this approach. This study aims to identify the incidence and management of catastrophic events in patients who underwent rob...
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| Format: | Article |
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MDPI AG
2023-01-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/13/1/215 |
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| author | Beatrice Manfredini Carmelina Cristina Zirafa Gaetano Romano Elena Bagalà Claudia Cariello Federico Davini Franca Melfi |
| author_facet | Beatrice Manfredini Carmelina Cristina Zirafa Gaetano Romano Elena Bagalà Claudia Cariello Federico Davini Franca Melfi |
| author_sort | Beatrice Manfredini |
| collection | DOAJ |
| description | Background: Robotic surgery is increasingly used in the treatment of lung disease. Intraoperative catastrophes, despite their low incidence, are currently a critical aspect of this approach. This study aims to identify the incidence and management of catastrophic events in patients who underwent robotic anatomical pulmonary resection; (2) Methods: Data from all patients who underwent robotic anatomical pulmonary resection from 2014 to 2021 for lung disease were collected and analyzed. Catastrophic intraoperative events are defined as events that demanded emergency management for life-threatening bleeding, with or without undocking and thoracotomy; (3) Results: Catastrophic events occurred in seven (1.4%) procedures; all of them consisted of vascular damage during lobectomy. Most of the catastrophic events occurred during left upper lobectomies (57%). Patients in this group had a higher ASA class and a higher pathological stage compared to the control group; (4) Conclusions: Intraoperative catastrophes are unpredictable events which also occur in experienced surgical teams. Given the widespread use of robotic surgery, it is essential to develop well-defined crisis management strategies to better manage catastrophic events in robotic thoracic surgery and improve clinical outcomes. |
| first_indexed | 2024-03-09T11:55:54Z |
| format | Article |
| id | doaj.art-bd9af8518c5e4f3bb3db25bf3df8c0e5 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-09T11:55:54Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-bd9af8518c5e4f3bb3db25bf3df8c0e52023-11-30T23:09:35ZengMDPI AGLife2075-17292023-01-0113121510.3390/life13010215Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the LiteratureBeatrice Manfredini0Carmelina Cristina Zirafa1Gaetano Romano2Elena Bagalà3Claudia Cariello4Federico Davini5Franca Melfi6Division of Thoracic Surgery, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, 41121 Modena, ItalyMinimally Invasive and Robotic Thoracic Surgery, Surgical, Medical, Molecular, and Critical Care Pathology Department, University of Pisa, 56126 Pisa, ItalyMinimally Invasive and Robotic Thoracic Surgery, Surgical, Medical, Molecular, and Critical Care Pathology Department, University of Pisa, 56126 Pisa, ItalyMinimally Invasive and Robotic Thoracic Surgery, Surgical, Medical, Molecular, and Critical Care Pathology Department, University of Pisa, 56126 Pisa, ItalyDepartment of Anesthesia and Critical Care Medicine, Cardiothoracic Anesthesia and Intensive Care, University Hospital of Pisa, 56124 Pisa, ItalyMinimally Invasive and Robotic Thoracic Surgery, Surgical, Medical, Molecular, and Critical Care Pathology Department, University of Pisa, 56126 Pisa, ItalyMinimally Invasive and Robotic Thoracic Surgery, Surgical, Medical, Molecular, and Critical Care Pathology Department, University of Pisa, 56126 Pisa, ItalyBackground: Robotic surgery is increasingly used in the treatment of lung disease. Intraoperative catastrophes, despite their low incidence, are currently a critical aspect of this approach. This study aims to identify the incidence and management of catastrophic events in patients who underwent robotic anatomical pulmonary resection; (2) Methods: Data from all patients who underwent robotic anatomical pulmonary resection from 2014 to 2021 for lung disease were collected and analyzed. Catastrophic intraoperative events are defined as events that demanded emergency management for life-threatening bleeding, with or without undocking and thoracotomy; (3) Results: Catastrophic events occurred in seven (1.4%) procedures; all of them consisted of vascular damage during lobectomy. Most of the catastrophic events occurred during left upper lobectomies (57%). Patients in this group had a higher ASA class and a higher pathological stage compared to the control group; (4) Conclusions: Intraoperative catastrophes are unpredictable events which also occur in experienced surgical teams. Given the widespread use of robotic surgery, it is essential to develop well-defined crisis management strategies to better manage catastrophic events in robotic thoracic surgery and improve clinical outcomes.https://www.mdpi.com/2075-1729/13/1/215robotic surgeryintraoperative catastropheslung anatomic resection |
| spellingShingle | Beatrice Manfredini Carmelina Cristina Zirafa Gaetano Romano Elena Bagalà Claudia Cariello Federico Davini Franca Melfi Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature Life robotic surgery intraoperative catastrophes lung anatomic resection |
| title | Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature |
| title_full | Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature |
| title_fullStr | Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature |
| title_full_unstemmed | Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature |
| title_short | Intraoperative Catastrophes during Robotic Lung Resection: A Single-Center Experience and Review of the Literature |
| title_sort | intraoperative catastrophes during robotic lung resection a single center experience and review of the literature |
| topic | robotic surgery intraoperative catastrophes lung anatomic resection |
| url | https://www.mdpi.com/2075-1729/13/1/215 |
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