Ricerc@Sapienza

FlexDex surgical system (FD) represents a 360 articulated device proposed as a needle driver which combines the comfort and ranges of movement of the robotic surgery with the cost effectiveness of normal endoscopic devices. These features highlight how FD is a clear step forward in minimally invasive surgery. As a matter of fact, FD allows surgeons to perform high compelling procedures in a more swift way, increasing the effectiveness and the overall performances and reducing costs, time of anesthesia and related post-operative complications. Accordingly, several studies showed its real usufulness in Urologic, Gynecologic and General Surgery procedures. However, to date studies that evaluated the applicability of FD system in minimally invasive thoracic surgery are not reported. Therefore, the aim of the present study is to test this device on patients who underwent advanced lung surgery through VATS. In order to assess the effectiveness in increasing safety, speed and overall performances, reducing operative time (OT), time of anesthesia (TOA), lenght of stay (LOS) and related post-operative complications will be evaluated. The resulting data will shed light on the applicability of FD system in the field of thoracic surgery and will be useful to set more effective and safer procedures, ensuring better care and management of patients.