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Review
. 2025 Aug;35(3):279-283.
doi: 10.1016/j.thorsurg.2025.04.001. Epub 2025 May 17.

Emergency Conversion During Robotic-Assisted Thoracic Surgery

Affiliations
Review

Emergency Conversion During Robotic-Assisted Thoracic Surgery

Dena G Shehata et al. Thorac Surg Clin. 2025 Aug.

Abstract

This article focuses on the critical aspects of emergency conversion from robotic-assisted thoracoscopic surgery (RATS) to open thoracotomy. Despite the superior visualization and control offered during RATS, conversion to a thoracotomy is occasionally necessary due to complications such as major vascular injury. Conversion is a high-stakes event, associated with increased morbidity and mortality, and requires careful preoperative planning, clear intraoperative communication, frequent simulation, and a systematic process to ensure patient safety.

Keywords: Conversion; Intraoperative emergency; Robotic surgery; Thoracic surgery.

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Conflict of interest statement

Disclosures E.L. Servais is a consultant for Intuitive Surgical Inc.

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