Thoracic Robotic Surgery

in L.A. and Hollywood Area

Over 200 Hundreds of thoracic robotic surgeries are performed annually by Dr. Marmureanu with great rates of success.

Our Approach

How I Perform Robotic Surgery

The da Vinci Surgical System, with the aid of which robotic surgery is performed, entails substantial benefits for both the patient and the surgeon. Nevertheless, before undergoing this procedure, your condition needs to be properly evaluated in order to determine whether you are eligible for thoracic robotic surgery. Thus, your physician will ask you to go through some of the following tests and examination procedures, depending on the specific health issue you suffer from:

  • blood tests
  • a CT scan of your chest area
  • chest X-rays
  • a biopsy
  • sputum cytology, a test which can determine the presence of malignant cells in the phlegm you cough up
  • MRI
  • bone scans
  • a PET scan (positron emission tomography)

Almost every condition or disease occurring in the thoracic cavity can be resolved by robotic surgery. Nevertheless, affections which are very severe or extremely complex cannot generally be cured by this treatment procedure, as a larger incision is required to gain proper access to the inside of your chest and attend to the problem.

If you are indeed a suitable candidate for thoracic robotic surgery and decide to undergo this type of intervention, you will first receive general anesthesia. Several small incisions of approximately 0.4 inches each will be made in your sternum (chest bone), through which the robotic arms will subsequently be inserted, as well as a fiber optic camera. Medical instruments can also be attached to the metallic arms and their movements will be controlled by the surgeon from the console with great precision and dexterity.

The camera will constantly provide us with detailed, three dimensional images of your organs and adjacent tissues in your chest cavity, thus overcoming the limitations of the human eye and increasing the surgeon’s ability to perform complex maneuvers inside the body. A repair, removal or replacement process ensues, depending on the specific condition you were diagnosed with. After the problem is completely resolved, your incisions will be closed and sterile dressings will be applied over them until the wounds heal.

call to Request an appointment

(310) 208-4400

Our Locations

Marina Del Rey Hospital

4650 Lincoln Blvd, Marina Del Rey, CA 90292

St. Vincent Medical Center

2131 W 3rd St, Los Angeles, CA 90057

Ronald Reagan UCLA Medical Center

757 Westwood Plaza, Los Angeles, CA 90095

(310) 825-9111
Cedar-Sinai Medical Center

8700 Beverly Blvd. Los Angeles, CA 90048

Hollywood Presbyterian Medical Center

1300 N Vermont Ave, Los Angeles, CA 90027

Centinela Freeman Regional Medical Center

555 E Hardy St, Inglewood, CA 90301

Olympia Medical Center

5900 W Olympic Blvd, Los Angeles, CA 90036

Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA 90401


Our Patients

Who Needs Robotic Surgery?

Robotic surgery can be successfully undergone by patients whose condition is not extremely severe or complex. People who have had multiple complex surgical interventions in the past may also not be suitable candidates for this procedure. Therefore, if the patient is eligible for the procedure, the following thoracic affections can be efficiently treated by robotic surgery, as well as numerous others:

  • lung cancer
  • neurogenic tumors
  • esophageal cancer
  • thymic cancer and thymoma (which affects the thymus gland)
  • achalasia
  • hiatal hernia
  • myasthenia gravis
  • gastroesophageal reflux disease
  • thoracic outlet syndrome
  • paraesophageal hernia
  • diaphragm paralysis
  • esophageal diverticula

It is worthy of note that thoracic robotic surgery implies a series of considerable benefits for the patient, including:

  • reduced postoperative bleeding
  • minimal tissue scarring
  • a shorter recovery period
  • reduced postoperative pain and discomfort
  • a shorter hospitalization period
  • significantly decreased risk of infection due to the small size of the incisions
  • less trauma to the tissues inside the chest cavity during the procedure


What to Expect After Robotic Surgery

Due to the minimally invasive nature of robotic surgery, you will spend less time in the hospital after the intervention. You will be discharged within 2 to 5 days, depending on the condition for which you underwent surgery. While hospitalized, you will receive a similar treatment as patients who had traditional thoracic surgery: you will be first moved to the intensive care unit, where doctors will constantly monitor your vital signals, and you will also be intubated for one or two days until you are able to eat, drink and use the restroom on your own. Pain relieving medicine and antibiotics are part of the recovery process as well, although the pain will not be very intense.

Your recovery will be complete within several weeks following surgery. In order to speed up the recovery process and prevent postoperative complications (which are very rare for robotic surgery), you will be advised to take into account some of these aspects:

  • limit your intake of foods rich in saturated fats and cholesterol and include a lot of fruits, vegetables and whole grains in your diet
  • it is highly recommended to quit smoking, or at least reduce its frequency, as it can greatly affect your heart and lungs over time
  • take the medication you were prescribed for as long as your physician recommended
  • exercise regularly or engage in sports to regain your health (you should discuss with your physician regarding the activities you are allowed to perform after the surgery)