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Robotic Lobectomy and the Principles of Technology DiffusionRobotic Lobectomy and Technology Diffusion

Daniel P. McCarthy, MD, MBA; Malcolm M. DeCamp, MD, FCCP
Author and Funding Information

From the Department of Surgery (Drs McCarthy and DeCamp), and the Robert H. Lurie Comprehensive Cancer Center (Dr DeCamp), Northwestern University Feinberg School of Medicine; and the Division of Thoracic Surgery (Dr DeCamp), Northwestern Memorial Hospital.

CORRESPONDENCE TO: Malcolm M. DeCamp, MD, FCCP, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Ste 650, Chicago, IL 60611; e-mail: mdecamp@nmh.org


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(6):1425-1426. doi:10.1378/chest.14-1442
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Extract

The roots of modern robotic surgery can be traced back to US Department of Defense-funded research focused on applications for battlefield telesurgery. Following a period of commercial development, legal battles, and industry consolidation, robotic surgery has matured and expanded across a variety of disciplines. Yet there is still uncertainty regarding the value generated by this proliferation. In this issue of CHEST (see page 1505), Paul and colleagues1 add to the growing literature on robotic technology in thoracic surgery. They identify several important findings. First, robotic lobectomy volume increased substantially over their study period. Second, when compared with an established minimally invasive platform, video-assisted thoracoscopic surgery (VATS), robotic lobectomy was associated with more intraoperative hemorrhage and iatrogenic injury and cost, yet offered no clinical benefit.

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