Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 May;82(2):161-174.
doi: 10.18999/nagjms.82.2.161.

Current trends in thoracic surgery

Toyofumi F Chen-Yoshikawa  1 , Takayuki Fukui  1 , Shota Nakamura  1 , Toshinari Ito  1 , Yuka Kadomatsu  1 , Hideki Tsubouchi  1 , Harushi Ueno  1 , Tomoshi Sugiyama  1 , Masaki Goto  1 , Shunsuke Mori  1 , Naoki Ozeki  1 , Shuhei Hakiri  1 , Koji Kawaguchi  1
Affiliations
Review

Current trends in thoracic surgery

Toyofumi F Chen-Yoshikawa et al. Nagoya J Med Sci. 2020 May.

Abstract

Thoracic surgery has evolved drastically in recent years. Although thoracic surgeons mainly deal with tumorous lesion in the lungs, mediastinum, and pleura, they also perform lung transplantation surgery in patients with end-stage lung disease. Herein, we introduce various major current topics in thoracic surgery. Minimally invasive surgical procedures include robot-assisted thoracic surgery and uniportal video-assisted thoracic surgery. Novel techniques for sublobar resection include virtual-assisted lung mapping, image-guided video-assisted thoracic surgery, and segmentectomy using indocyanine green. Three-dimensional (3D) computed tomography (CT) simulation consists of surgeon-friendly 3D-CT image analysis systems and new-generation, dynamic 3D-CT imaging systems. Updates in cadaveric lung transplantation include use of marginal donors, including donation after circulatory death, and ex vivo lung perfusion for such donors. Topics in living donor lobar lung transplantation include size matching, donor issues, and new surgical techniques. During routine clinical practice, thoracic surgeons encounter various pivotal topics related to thoracic surgery, which are described in this report.

Keywords: lung transplantation; robotic surgery; three-dimensional computed tomography; uniportal surgery; video-assisted thoracic surgery.

PubMed Disclaimer

Conflict of interest statement

All the authors have declared no competing interest.

Figures

Fig. 1
Fig. 1
The trend of robot-assisted thoracic surgery (RATS) at Nagoya University, where RATS were started as one of the institutions with a spirit of enterprise in 2013
Fig. 2
Fig. 2
Concept of virtual-assisted lung mapping (VAL-MAP)
Fig. 3
Fig. 3
Resection process map (RPM)
Fig. 4
Fig. 4
Rat ex-vivo lung perfusion (EVLP) system
Fig. 5
Fig. 5
Human ex-vivo lung perfusion (EVLP) system
Fig. 6
Fig. 6
Living-donor lobar lung transplantation (LDLLT)
Fig. 7
Fig. 7
Size matching in living-donor lobar lung transplantation (LDLLT)
Fig. 8
Fig. 8
Preoperative simulation using 3D models
See this image and copyright information in PMC

References

    1. Mun M, Nakao M, Matsuura Y, Ichinose J, Nakagawa K, Okumura S. Video-assisted thoracoscopic surgery lobectomy for non-small cell lung cancer. Gen Thorac Cardiovasc Surg. 2018;66(11):626–631. - PubMed
    1. Nakamura H Taniguchi Y. Robot-assisted thoracoscopic surgery: current status and prospects. Gen Thorac Cardiovasc Surg. 2013;61(3):127–132. - PubMed
    1. Nakamura H. Systematic review of published studies on safety and efficacy of thoracoscopic and robot-assisted lobectomy for lung cancer. Ann Thorac Cardiovasc Surg. 2014;20(2):93–98. - PubMed
    1. Suda T. Transition from video-assisted thoracic surgery to robotic pulmonary surgery. J Vis Surg. 2017;3:55. - PMC - PubMed
    1. Feczko AF, Wang H, Nishimura K, et al. Proficiency of robotic lobectomy based on prior surgical technique in The Society of Thoracic Surgeons General Thoracic Database. Ann Thorac Surg. 2019;108(4):1013–1020. - PubMed

LinkOut - more resources