Principles of robotic thoracic surgery, program development and equipment

Robotic surgical technology, as it is applied to thoracic surgery procedures, offers surgeons greater dexterity, three-dimensional view, and tremor adjustment that results in the ability to perform complex procedures in small thoracic spaces. There is the potential of less trauma to surrounding structures that may result in less pain and debility. The selection and development of a surgical team with the interest, skills, knowledge, devotion, and focus to achieve quality outcomes is especially important in this new technology. The overall principles of operating theater organization, body positioning, and port placement are reviewed in principle. For thoracic procedures, the available robotic and nonrobotic instruments are reviewed in a general sense. There are great opportunities as robotic surgical technologies is further developed that should offer better outcomes for patients.