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Minimally Invasive Thoracic Robotic Surgery

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Summary of the Device

Robotic-assisted thoracic surgery (RATS) using the da Vinci platform represents a significant advancement in minimally invasive lung surgery. The system offers high-definition 3D visualization and wristed instruments, which facilitate precise dissections in procedures such as lobectomy and segmentectomy (Chen et al., 2023). Latest research indicates that RATS delivers perioperative outcomes that are equally comparable to or superior to those of video-assisted thoracoscopic surgery (VATS), with some analyses indicating lower conversion rates and reduced hospital stays (Kawaguchi et al., 2023; Kent & Backhus, 2022). RATS often lead to improved lymph node retrieval, thereby increasing the accuracy of cancer staging (Chen et al., 2023).

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More precise movement: Robotic arms move like a human wrist, but they are more flexible and shake less (Kent & Backhus, 2022).

Less pain and faster recovery: Patients typically experience less pain, spend less time in the hospital, and recover more quickly than they would after open surgery (Kent & Backhus, 2022).

Less likely to require open surgery: When using the robot, surgeons may be less likely to switch to open surgery (Kent & Backhus, 2022).

Some analyses observe lower conversion rates and shorter lengths of stay:The meta-analyses and prospective studies show similar rates of complications; however, RATS has been linked to shorter stays and fewer conversions to thoracotomy in several series (Kawaguchi et al., 2023).

It improves dexterity and reduces surgeon fatigue: Studies have shown that moderate training can lead to proficiency (Oh et al., 2023).

Cost-effectiveness: In high-volume centers, cost-effectiveness is achieved by minimizing operating times and maintaining low conversion rates (Swanson et al., 2022).

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I believe the da Vinci system provides safe and easy surgical options, with excellent performance before, during, and after surgery, and cancer outcomes that are comparable to those of video-assisted thoracoscopic surgery (VATS). This technique is advantageous for intricate mediastinal dissections or anatomical segmentectomies. Experience and cost control have a significant effect on its intrinsic value. In hospitals with fewer patients, high-quality VATS is a cost-effective standard (Chen et al., 2023; Oh et al., 2023). I also believe that the Da Vinci system has helped patients experience less pain after surgery, stay in the hospital for shorter periods, and heal more quickly than those who underwent VATS (Kent & Backhus, 2022).

But there are still some issues with the system in question. For instance, it is primarily accessible to large hospitals that perform a high volume of surgeries due to its high expense, and it is not cost-effective for smaller hospitals.

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Achiever: As an achiever, I consistently work hard. I consistently concentrate on achieving my goals and improving myself. Being goal-oriented, driven by my dreams, and consistently working hard to achieve my goal is what keeps me going. I consistently look for ways to improve myself and engage in them. These skills will help my team achieve our goals.

Arranger: As an arranger, I always pride myself on putting things together. I am flexible, and I use my coordination skills and recognize when a team member possesses an attribute that will help the team succeed.

Discipline: As a disciplinarian, I am always focused on adhering to the established rules and guidelines, which I believe will help my team achieve high productivity. I ensure that no distraction hinders me from achieving my goals and fulfilling my purpose. I will establish and adhere to deadlines for both myself and my team.

Empathy: I always connect easily with people’s situations. Before reacting to a problem, I put myself in people’s shoes to see how I would respond if I were faced with the same challenges. I am a very emotional person who can connect with the feelings of my team members, offering recommendations that I believe will help improve the situation.

Positivity: I strive to maintain a positive attitude towards myself and those around me. Positivity brings encouragement and higher morale, helps me remain calm in stressful situations, and motivates me to strive for excellence for myself and my team members.

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Inadequate significant studies: Further research is needed to demonstrate that this method offers long-term benefits over other methods (Kent & Backhus, 2022).

Increased cost: The VATS shows that per-case costs for RATS are high (Swanson et al., 2022), indicating that current direct costs are rising.

Operative and setup times are usually long, especially after the first phase of adoption. The volume of surgeries and the team's experience impact their efficiency (Oh et al., 2023).

Oncological similarities in relation to superiority: The long-term survival and disease-free survival rates for early-stage NSCLC are comparable for RATS and VATS, both before and after surgery (Chen et al., 2023).

No sense of touch: Surgeons can't feel the tissue directly; they can only see it (Kent & Backhus, 2022).

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Alice (Achiever): Alice will motivate and discipline us to achieve our goals. She will be responsible for creating standards and initiatives that will help keep the team on track.

Abraham (Arranger): Abraham will help us keep the team organized and help with the general coordination of the rest of the team members. This will help us maximize our time and ensure that the right people are assigned to the right tasks.

Carter (Communication): Carter will help ensure the team's communication is effective and that each team member understands their clear roles and responsibilities. We will share ideas and information with the team through clear communication.

Daniel (Discipline): Daniel will ensure discipline among the team members and establish clear strategies, practices, and timelines for everyone. These abilities will help team members stay on with their tasks and complete them promptly.

Fernando (Focus): Fernando will help the team center with its objectives and priorities. This skill will also be effective in avoiding distractions and aligning with the team's purpose.