• Gregor J Kocher, Ralph A Schmid, and Franca M A Melfi.
• Division of Thoracic Surgery, Department of Cardiac, Thoracic and Vascular Surgery, University of Pisa, Pisa, Italy Division of General Thoracic Surgery, University Hospital of Bern, Bern, Switzerland gregor.kocher@insel.ch gkocher@gmx.ch.
• Eur J Cardiothorac Surg. 2014 Dec 1; 46 (6): e136-8.

AbstractThe robotic approach in thoracic surgery has rapidly gained popularity in recent years. As with the introduction of any new technology, this warrants not only adaptation of the operative technique itself, but also the evolution of appropriate troubleshooting strategies. A selected number of helpful tips and technical procedural manoeuvres have been compiled to prevent intraoperative problems, as well as to overcome challenging situations that can arise during robotic lobectomies. In robotic surgery, as opposed to open surgery or video-assisted thoracic surgery, these tips serve an important purpose for the operating surgeon, as well as the entire surgical team involved in the procedure. All the assembled recommendations have proved their effectiveness and have been successfully used by the authors in many procedures. Furthermore, these manoeuvres have been found to be of great importance in the training and proctoring of thoracic surgeons, fellows and residents (bed-side assistants). This guide of clearly arranged tips and troubleshooting strategies offers surgeons a useful tool to overcome difficult situations in robotic lobectomy and preferably improve the reproducibility and safety of their procedures.© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

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