Abstract With the effect of the developing technology in thoracic surgery, it has been possible to treat lung resections with robotic surgery in recent years. Many articles have supported Minimally Invasive Surgery (MIS) against the traditional open approach. Both Video-Assisted Thoracic Surgery (VATS) and Robot-Assisted Thoracic Surgery (RATS) have shown better perioperative results and equivalent oncological results compared to thoracotomy. Compared to VATS, robotic thoracic surgery provides easier operations in the lung cancer, the robot has better instruments and better view of the field of operation; 3-dimensional instead of 2-dimensional; ×10 magnification instead of ×2 or ×3; and less fogging, thus less camera manipulation. Robotic thoracic surgery is considered the next step in the evolution of minimally invasive surgery, since the robot allows a more complex and precise operation than VATS. This article reviews worldwide experience of robotic thoracic surgery and discusses potential benefits and limitations of using the robotic platform to perform thoracic surgery procedures.
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