Comparison of the Recent Efficacy of Robot-assisted and Thoracic Laparoscopic Minimally Invasive Mckeown Radical Resection of Esophageal Cancer based on Propensity Score Matching
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.20240312.003
- VernacularTitle:基于倾向评分匹配的机器人辅助与胸腹腔镜微创三切口食管癌根治术近期疗效比较
- Author:
Tianci ZHANG
1
;
Ligong YUAN
1
;
Jieyong TIAN
1
;
Xinhao LI
2
;
Zhining HUANG
3
;
Xianning WU
1
Author Information
1. Department of Thoracic surgery， The First Affiliated Hospital of USTC， Hefei 230001， China
2. School of Basic Medical Sciences， Hebei North University， Zhangjiakou 075000， China
3. Department of Thoracic Surgery， Anhui Provincial Hospital Affiliated with Anhui Medical University， Hefei 230032， China
- Publication Type:Journal Article
- Keywords:
esophageal cancer;
Da Vinci machine system;
minimally invasive esophageal cancer surgery;
tendency matching score;
minimal invasive esophagectomy
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2024;45(2):310-318
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the safety and efficacy of robot-assisted minimally invasive esophagectomy （robot-assisted minimally invasive esophagectomy， RAMIE） and thoracic laparoscopy combined with minimally invasive esophageal resection （minimal invasive esophagectomy， MIE）. MethodsThe data of 188 patients treated with Da Vinci robot assisted minimally invasive esophageal resection （RAMIE） from April 2021 to December 2022 were analyzed. In the RAMIE group， 69 patients， 49 males and 20 female， age （67.2 ± 7.2）； 119 in the MIME group， respectively， 89 males and 30 female， age （69.1 ± 7.0）. At 1 ∶ 1， including 58 patients in the RAMIE group and 58 patients in the MIE group. The t-test， Wilcoxon rank-sum test， χ2 test， and so on. ResultsAfter PSM treatment， the clinical data between the two groups. There was no significant difference in operation time， postoperative tube days， and total number of lymph node dissection between the RAMIE and MIE groups （P <0.05）； the RAMIE group was better in terms of intraoperative bleeding and the MIE group， statistically significant （P <0.05）； the MIE group was better in drainage flow and lymph node dissection for three days （P <0.05）. In terms of postoperative complications， there was no statistical difference between RAMIE and MIE groups （P>0.05）. ConclusionThe recent efficacy of robot-assisted minimally invasive esophagectomy is comparable to that of thoracic laparoscopy and minimally invasive Mckeown esophagectomy； robotic-assisted minimally invasive esophagectomy can reduce intraoperative bleeding and have more advantages in left recurrent laryngeal nerve lymph node dissection.
