Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia
Abstract Background Fibrous dysplasia (FD) is the most common benign tumor of the ribs, with surgical resection being the preferred treatment modality for rib FD, leading to enhanced quality of life and favorable outcomes. The complexity of surgical intervention varies depending on the location of c...
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| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03340-x |
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| author | Chen Yang Lei Chen Hui Wang Qianyun Wang |
| author_facet | Chen Yang Lei Chen Hui Wang Qianyun Wang |
| author_sort | Chen Yang |
| collection | DOAJ |
| description | Abstract Background Fibrous dysplasia (FD) is the most common benign tumor of the ribs, with surgical resection being the preferred treatment modality for rib FD, leading to enhanced quality of life and favorable outcomes. The complexity of surgical intervention varies depending on the location of costal FD, presenting challenges for both open surgical and thoracoscopic approaches. In this study, we present a novel technique for three-port robotic-assisted costectomy utilizing a Gigli saw, detailing our initial findings and outcomes. Methods We reviewed five patients with benign rib tumors who underwent three-port robotic-assisted rib resection using a Gigli saw between May 2021 and December 2022. Data on patient characteristics, relevant short-term surgical outcomes and clinical long-term treatment effects were collected. Results The surgery was successful in all five patients without any need for an additional port and emergency conversion to open surgery. Median operative time was 76.8 min (range, 73–116 min), and the median intraoperative blood loss volumes was 75 ml (range, 40– 105 mL). On average, chest tubes were removed 1.2 days postoperatively (range, 1–2 days), with a mean drainage volume of 93 ml on postoperative day 1 (range, 70–135 ml). Patients were discharged between the 2nd and 4th postoperative day. During 1-year follow-up period, no recurrence was observed in either patient. Conclusions The utilization of a three-port robotic-assisted costectomy in conjunction with a Gigli saw represents a viable, secure, and efficient approach for treating isolated benign rib lesions. Our aim is to provide clinical guidance on this technique and promote its broader application. |
| format | Article |
| id | doaj-art-5e077fcbb23c4bbe8b3da764bbd293c8 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-5e077fcbb23c4bbe8b3da764bbd293c82025-02-02T12:42:09ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011810.1186/s13019-025-03340-xRobotic-assisted costectomy using a Gigli saw for fibrous dysplasiaChen Yang0Lei Chen1Hui Wang2Qianyun Wang3Department of Thoracic Surgery, The First People’s Hospital of Changzhou, The Third Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First People’s Hospital of Changzhou, The Third Affiliated Hospital of Soochow UniversityDepartment of Pathology, The First People’s Hospital of Changzhou, The Third Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First People’s Hospital of Changzhou, The Third Affiliated Hospital of Soochow UniversityAbstract Background Fibrous dysplasia (FD) is the most common benign tumor of the ribs, with surgical resection being the preferred treatment modality for rib FD, leading to enhanced quality of life and favorable outcomes. The complexity of surgical intervention varies depending on the location of costal FD, presenting challenges for both open surgical and thoracoscopic approaches. In this study, we present a novel technique for three-port robotic-assisted costectomy utilizing a Gigli saw, detailing our initial findings and outcomes. Methods We reviewed five patients with benign rib tumors who underwent three-port robotic-assisted rib resection using a Gigli saw between May 2021 and December 2022. Data on patient characteristics, relevant short-term surgical outcomes and clinical long-term treatment effects were collected. Results The surgery was successful in all five patients without any need for an additional port and emergency conversion to open surgery. Median operative time was 76.8 min (range, 73–116 min), and the median intraoperative blood loss volumes was 75 ml (range, 40– 105 mL). On average, chest tubes were removed 1.2 days postoperatively (range, 1–2 days), with a mean drainage volume of 93 ml on postoperative day 1 (range, 70–135 ml). Patients were discharged between the 2nd and 4th postoperative day. During 1-year follow-up period, no recurrence was observed in either patient. Conclusions The utilization of a three-port robotic-assisted costectomy in conjunction with a Gigli saw represents a viable, secure, and efficient approach for treating isolated benign rib lesions. Our aim is to provide clinical guidance on this technique and promote its broader application.https://doi.org/10.1186/s13019-025-03340-xRobot-assisted costectomyFibrous dysplasiaGigli sawRib resection |
| spellingShingle | Chen Yang Lei Chen Hui Wang Qianyun Wang Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia Journal of Cardiothoracic Surgery Robot-assisted costectomy Fibrous dysplasia Gigli saw Rib resection |
| title | Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia |
| title_full | Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia |
| title_fullStr | Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia |
| title_full_unstemmed | Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia |
| title_short | Robotic-assisted costectomy using a Gigli saw for fibrous dysplasia |
| title_sort | robotic assisted costectomy using a gigli saw for fibrous dysplasia |
| topic | Robot-assisted costectomy Fibrous dysplasia Gigli saw Rib resection |
| url | https://doi.org/10.1186/s13019-025-03340-x |
| work_keys_str_mv | AT chenyang roboticassistedcostectomyusingagiglisawforfibrousdysplasia AT leichen roboticassistedcostectomyusingagiglisawforfibrousdysplasia AT huiwang roboticassistedcostectomyusingagiglisawforfibrousdysplasia AT qianyunwang roboticassistedcostectomyusingagiglisawforfibrousdysplasia |