{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:56:07Z","timestamp":1789844167452,"version":"4.0.1"},"reference-count":3,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T00:00:00Z","timestamp":1699228800000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The objective of this study was to describe a novel minimally invasive robotic video-assisted approach for lung transplantation, utilizing a minimally invasive technique with a subxiphoid incision, in an animal experimentation model. Two left robotic-assisted single lung transplants were performed in sheep using a robotic surgical system. A subxiphoid incision was made, and robotic ports were inserted into the thoracic cavity for dissection and anastomoses of the bronchus, artery, and pulmonary veins. The integrity of anastomoses was evaluated, and procedural details were recorded. Both animals survived the procedure, with a mean duration of 255\u2009min and a mean console time of 201\u2009min. Anastomoses were performed without complications, and the closed-chest approach with a subxiphoid incision proved successful in preventing gas leakage. The novel approach demonstrated improved exposure and workflow compared to existing techniques. The minimally invasive robotic video-assisted approach for lung transplantation utilizing a closed-chest technique with a subxiphoid incision appears safe and feasible in an animal experimentation model. Further studies in the clinical setting are warranted to establish its feasibility and safety in human lung transplantation. This approach has the potential to offer benefits over the traditional Clamshell incision in lung transplantation procedures.<\/jats:p>","DOI":"10.1093\/icvts\/ivad179","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T11:46:21Z","timestamp":1699530381000},"source":"Crossref","is-referenced-by-count":4,"title":["Advances in robotic lung transplantation: development and validation of a new surgical technique in animal models"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8788-0052","authenticated-orcid":false,"given":"Fernando","family":"Ascanio","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery and Lung Transplantation, Hospital Universitario Vall d\u2019Hebron , Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0612-5720","authenticated-orcid":false,"given":"I\u00f1igo","family":"Royo-Crespo","sequence":"additional","affiliation":[{"name":"Department of Thoracic surgery, Hospital Universitario Miguel Servet and Hospital Cl\u00ednico Lozano Blesa , Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Rosado","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Lung Transplantation, Hospital Universitario Vall d\u2019Hebron , Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leire","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Lung Transplantation, Hospital Universitario Vall d\u2019Hebron , Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Romero","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Lung Transplantation, Hospital Universitario Vall d\u2019Hebron , Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Dur\u00e1n-Rey","sequence":"additional","affiliation":[{"name":"Laparoscopy Unit, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre , C\u00e1ceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"S\u00e1nchez-Margallo","sequence":"additional","affiliation":[{"name":"Laparoscopy Unit, Jes\u00fas Us\u00f3n Minimally Invasive Surgery Centre , C\u00e1ceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Jauregui","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Lung Transplantation, Hospital Universitario Vall d\u2019Hebron , Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,11,6]]},"reference":[{"key":"2023111818285369200_ivad179-B1","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1056\/NEJM198605013141802","article-title":"Unilateral lung transplantation for pulmonary fibrosis","volume":"1314","author":"Toronto Lung Transplant Group","year":"1986","journal-title":"N Engl J Med"},{"key":"2023111818285369200_ivad179-B2","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1067\/mtc.2001.118272","article-title":"Video-assisted minimally invasive approach in clinical bilateral lung transplantation","volume":"122","author":"Fischer","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023111818285369200_ivad179-B3","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1093\/icvts\/ivw004","article-title":"Outcomes of minimally invasive lung transplantation in a single centre: the routine approach for the future or do we still need clamshell incision?","volume":"22","author":"Marczin","year":"2016","journal-title":"Interact CardioVasc Thorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivad179\/52952562\/ivad179.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/37\/5\/ivad179\/53522090\/ivad179.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/37\/5\/ivad179\/53522090\/ivad179.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T18:29:04Z","timestamp":1700332144000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivad179\/7371300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,1]]},"references-count":3,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,11,2]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivad179","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,11,1]]},"published":{"date-parts":[[2023,11,1]]},"article-number":"ivad179"}}