TY - JOUR AU - Ismail, Mahmoud AU - Waterhouse, Benjamin R. AU - Colman, Alyx AU - Gonzalez-Rivas, Diego AU - Bosinceanu, Mugurel AU - Dunning, Joel PY - 2023 TI - The transition to uniportal robotic surgery in the second decade of uniportal surgery JF - Annals of Cardiothoracic Surgery; Vol 12, No 2 (March 31, 2023): Uniportal Robotic-Assisted Thoracic Surgery II Y2 - 2023 KW - N2 - Uniportal robotic surgery was created by Dr. Diego Gonzalez-Rivas as a fusion of his decade of experience with uniportal video-assisted thoracoscopic surgery (VATS) and his recent experience with the Intuitive Robotic System. It represents, in his view, the natural evolution of the uniportal technique in the era of robotic surgery. In this article, we discuss some of the novel issues that this raises, including capacitive coupling, and we describe the technique in detail to help surgeons who may be interested in starting uniportal robotic surgery. We go through case selection, which should start with wedge resections and lymphadenectomy. We look at port placement, which is more posterior and lower than the usual uniportal VATS approach, and we discuss the optimal instruments and ports for the technique. We discuss the role of the assistant in uniportal robotic surgery, which is a key part of the operation as we regard this as a two-surgeon technique. We then discuss the future and other possible robotic platforms that might be suitable for uniportal robotic surgery. It is an exciting new development for robotic surgery, and we recommend that this technique is suitable for advanced surgeons who are experienced in uniportal VATS lobectomy and in multiportal robotic surgery. UR - https://www.annalscts.com/article/view/17007