Experimental Robotic Pulmonary Lobectomy With the TELELAP/ALFX System in the Ovine Model. (June 2015)

• Record Type: Journal Article
• Authors: Lococo, Achille; Larocca, Valentina; Marino, Francesco; De Filippis, Antonio Fabilian; Cesario, Alfredo; Lococo, Filippo
• Is Part Of: Surgical innovation. Volume 22:Number 3(2015:Jun.)
• Page Start: 252
• Page End: 256
• Publication Date: 2015-06
• Subjects: image-guided surgery -- robotic surgery -- surgical education; Surgery, Operative -- Periodicals; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Diffusion of Innovation -- Periodicals; Chirurgie opératoire -- Périodiques; Chirurgie endoscopique -- Périodiques; Chirurgie laparoscopique -- Périodiques; 617.91
• DOI: 10.1177/1553350614549633
• Languages: English
• ISSNs: 1553-3506

Abstract

A new robotic telesurgical device (TELELAP/ALFX) is used for the first time to execute an anatomical pulmonary resection (lobectomy) plus mediastinal lymph node dissection in the ovine model. This integrated operative system has 2 innovative peculiarities: ( a ) tactile perception (engineered to give the operator a tactile feedback similar to that experienced when handling thoracoscopy instruments) and ( b ) eye-tracking (immediate synchronization of the surgeon's eyes movements with that of the robotic camera). Herein, we report a lower right pulmonary lobectomy under complete robotic assistance (TELELAP/ALFX). Standard endoscopic staplers were used in all the major maneuvers (bronchial as well as vascular resections and fissural completion) introduced through a utility 4-cm-sized incision. The specimen was placed in an endoscopic retrieval bag and removed through a service minithoracotomy. With the limitations because of interspecies differences in anatomical landmarks, a mediastinal lymph nodal dissection was also completed. The operative time was acceptable (~180 minutes) with blood loss of 100 mL. In conclusion, according to this first all experimental experience we may deem the TELELAP/ALFX system completely apt to perform major anatomic pulmonary resections and the regulatory process to run trials in humans are under way.