{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:05Z","timestamp":1751485205671,"version":"3.41.0"},"reference-count":5,"publisher":"International College of Surgeons","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,5]]},"abstract":"We have previously reported on the importance of appropriate robot-arm settings and replacement of instrument ports in robot-assisted thoracic surgery, because the thoracic cavity requires a large space to access all lesions in various areas of the thoracic cavity from the apex to the diaphragm and mediastinum and the chest wall.1\u20133<\/jats:sup> Moreover, it can be difficult to manipulate the da Vinci Surgical System using only arms No. 1 and No. 2 depending on the tumor location. However, arm No. 3 is usually positioned on the same side as arm No. 2, and sometimes it is only used as an assisting-arm to avoid conflict with other arms (Fig. 1). In this report, we show how robot-arm No. 3 can be used with maximum effectiveness in da Vinci-assisted thoracic surgery.Fig. 1<\/jats:label>Usual positioning of arms No. 1, No. 2, and No. 3.<\/jats:p><\/jats:caption>Fig. 1. Usual positioning of arms No. 1, No. 2, and No. 3.<\/jats:alt-text><\/jats:fig><\/jats:p>","DOI":"10.9738\/intsurg-d-14-00259.1","type":"journal-article","created":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T14:32:12Z","timestamp":1432650732000},"page":"930-933","source":"Crossref","is-referenced-by-count":2,"title":["Maximizing Use of Robot-Arm No. 3 in Da Vinci\u2013Assisted Thoracic Surgery"],"prefix":"10.9738","volume":"100","author":[{"given":"Naohiro","family":"Kajiwara","sequence":"first","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"},{"name":"Department of Health Science and Social Welfare, Waseda University School of Human Sciences, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junichi","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasufumi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Kakihana","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuo","family":"Ohira","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiko","family":"Kawate","sequence":"additional","affiliation":[{"name":"Department of Health Science and Social Welfare, Waseda University School of Human Sciences, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiko","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"2","key":"i0020-8868-100-5-930-b01","series-title":"Interact Cardiovasc Thorac Surg","first-page":"112","article-title":"Appropriate set-up of the da Vinci surgical system in relation to the location of anterior and middle mediastinal tumors","volume":"12","author":"Kajiwara\n N,","year":"2011","unstructured":"Kajiwara\n N, \n \n Kakihana\n M, \n \n Kawate\n N, \n \n Ikeda\n N.\n \n \n Appropriate set-up of the da Vinci surgical system in relation to the location of anterior and middle mediastinal tumors. Interact Cardiovasc Thorac Surg2011;12(2):112\u2013116"},{"issue":"3","key":"i0020-8868-100-5-930-b02","series-title":"Asian Cardiovasc Thorac Ann","first-page":"308","article-title":"Extended indications for robotic surgery for posterior mediastinal tumors","volume":"20","author":"Kajiwara\n N,","year":"2012","unstructured":"Kajiwara\n N, \n \n Kakihana\n M, \n \n Usuda\n J, \n \n Ohira\n T, \n \n Kawate\n N, \n \n Ikeda\n N.\n \n \n Extended indications for robotic surgery for posterior mediastinal tumors. Asian Cardiovasc Thorac Ann2012;20(3):308\u2013313"},{"issue":"6","key":"i0020-8868-100-5-930-b03","series-title":"Ann Thorac Surg","first-page":"2182","article-title":"High-speed 3-dimensional imaging in robot-assisted thoracic surgery procedures","volume":"97","author":"Kajiwara\n N,","year":"2014","unstructured":"Kajiwara\n N, \n \n Akata\n S, \n \n Hagiwara\n M, \n \n Yoshida\n K, \n \n Kato\n Y, \n \n Kakihana\n M\n \n et al\n . High-speed 3-dimensional imaging in robot-assisted thoracic surgery procedures. Ann Thorac Surg2014;97(6):2182\u20132184"},{"issue":"5","key":"i0020-8868-100-5-930-b04","series-title":"Eur J Cardiothorac Surg","first-page":"844","article-title":"First experiences with the da Vinci operating robot in thoracic surgery","volume":"25","author":"Bodner\n J,","year":"2004","unstructured":"Bodner\n J, \n \n Wykypiel\n H, \n \n Wetscher\n G, \n \n Schmid\n T.\n \n \n First experiences with the da Vinci operating robot in thoracic surgery. Eur J Cardiothorac Surg2004;25(5):844\u2013851"},{"issue":"4","key":"i0020-8868-100-5-930-b05","series-title":"Interact Cardiovasc Thorac Surg","first-page":"388","article-title":"Robot-assisted lung resection: outcomes and technical details","volume":"11","author":"Giulianotti\n PC,","year":"2010","unstructured":"Giulianotti\n PC, \n \n Buchs\n NC, \n \n Caravaglios\n G, \n \n Bianco\n FM.\n \n \n Robot-assisted lung resection: outcomes and technical details. 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