Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

First Experience of Thoracic Surgery with the da $Vinci^{TM}$ Surgical System in Korea

다빈치 수술로봇을 이용한 흉부수술 1예 보고

  • Kim Dae-Joon (Department of Thoracic & Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Chung Kyung-Young (Department of Thoracic & Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Park In-Kyu (Department of Thoracic & Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Park Sung-Yong (Department of Thoracic & Cardiovascular Surgery, Yonsei University College of Medicine)
  • 김대준 (연세대학교 의과대학 신촌세브란스병원 흉부외과학교실) ;
  • 정경영 (연세대학교 의과대학 신촌세브란스병원 흉부외과학교실) ;
  • 박인규 (연세대학교 의과대학 신촌세브란스병원 흉부외과학교실) ;
  • 박성용 (연세대학교 의과대학 신촌세브란스병원 흉부외과학교실)
  • Published : 2006.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Video-assisted thoracoscopic surgery has gained a broad acceptance for various thoracic lesions because it is the minimally invasive surgery with little tissue trauma, less pain, improved cosmetic results and short recovery time. However, there are some limitations for this method, such as restricted visual sensory information to a two-dimensional image and limited maneuverability of the tips of the instruments. To overcome these limitations, advanced technology has been introduced and the da $Vinci^{TM}$ Surgical System (Intuitive Surgical Inc, Mountain View, CA, USA) became available in 2001. In Korea, the da $Vinci^{TM}$ Surgical System was introduced in Severance hospital (Yonsei University College of Medicine) in May 2005, and approved by KFDA in July 2005. Herein, we report the first experience of robot-assisted thoracic surgery with the da $Vinci^{TM}$ Surgical System in extirpation of a large teratoma in anterior mediastinum.

비디오흉강경수술은 조직에 손상을 덜 주고, 통증완화 및 미용효과가 우수하며, 환자의 회복이 빠른 장점이 있어 흉부외과 영역에 광범위하게 적용되고 있다. 그러나 2차원 평면이미지의 한계, 내시경기구들의 제한된 움직임 등의 단점이 있어 이를 극복하고자 많은 기술적 발전이 이루어져 왔으며, 이 중 현재 가장 앞선 것이 다빈치 수술로봇(da $Vinci^{TM}$ Surgical System)이다. 구미에서는 이미 많은 기관에서 다빈치 수술로봇을 이용한 수술이 시행되고 있으며, 국내에는 2005년 5월 연세대학교 의과대학 세브란스병원에 도입된 후 7월에 식품의약품안전청의 승인을 받아 수술에 이용되기 시작하였다. 저자들은 전종격동에 발생한 기형종에 대하여 다빈치 수술로봇을 이용한 종양적출술을 성공적으로 시행하였기에 보고하는 바이다.

Keywords

References

  1. Nagahiro I, Andou A, Aoe M, Sano Y, Date H, Shimizu N. Pulmonary junction, postoperative pain and serum cytokine level after lobectomy: a comparison of VATS and conventional procedure. Ann Thorac Surg 2001;72:362-5 https://doi.org/10.1016/S0003-4975(01)02804-1
  2. Forster R, Storck M, Schafer JR, Honig E, Lang G, Liewald F. Thoracoscopy versus thoracotomy: a prospective comparison of trauma and quality of life. Langenbecks Arch Surg 2002;387 :32-6 https://doi.org/10.1007/s00423-002-0287-9
  3. Ballantyne GH, Moll F. The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Sur Clin N Am 2003;83:1293-304 https://doi.org/10.1016/S0039-6109(03)00164-6
  4. Yoshino I, Hashizume M, Shimada M, Tomikawa M, Sugimachi K. Video-assisted thoracoscopic extirpatio of a posterior mediastinal mass using the da Vinci computer enhanced surgical system. Ann Thorac Surg 2002;74:1235-7 https://doi.org/10.1016/S0003-4975(02)03820-1
  5. Yoshino I, Hashizume M, Shimada M, et al. Thoracoscopic thymectomy with the da Vinci computer enhanced surgical system. J Thorac Cardiovac Surg 2001;122:783-5 https://doi.org/10.1067/mtc.2001.115231
  6. Bodner J, Wykypiel H, Wetscher G, Schmid T. First experiences with the da Vinci trade mark operting robot in thoracic surgery. Eur J Cardiothorac Surg 2004;25:844-51 https://doi.org/10.1016/j.ejcts.2004.02.001
  7. Ashton RC, Connery CP, Swistel DG, DeRose JJ. Robotassisted lobectomy. J Cardiothorac Surg 2003;126:292-3