Robot-assisted thoracic surgery versus video-assisted thoracic surgery for early-stage lung cancer: A case control study
10.7507/1007-4848.201805002
- VernacularTitle:早期肺癌患者行达芬奇机器人与胸腔镜肺癌根治术的病例对照研究
- Author:
MA Jilong
1
,
2
;
JIN Dacheng
1
,
2
;
HAN Songchen
1
,
2
;
CHEN Meng
1
,
2
;
GOU Yunjiu
3
Author Information
1. 1. Department of Thoracic surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China
2. 2. Gansu University of Traditional Chinese Medicine, Lanzhou, 730000, P.R.China
3. 1. Department of Thoracic surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China
- Publication Type:Journal Article
- Keywords:
Robot;
thoracoscopy;
lung cancer;
minimally invasive
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(1):48-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative effect of robot-assisted thoracic surgery (RATS) and video-assisted thoracic surgery (VATS) for early stage lung cancer patients. Methods We retrospectively analyzed the clinical data of 80 patients with radical resection of lung cancer in Gansu Provincial Hospital between January 2016 and December 2017. The patients were divided into two groups: 43 patients in a VATS group and 37 in a RATS group. There were 51 males and 29 females. Data were processed with STATA v14.0 statistical software. Results There were significant differences in the operative time, duration of hospital stay and operative costs between the two groups. In the RATS group, operative duration was longer (172.21 minutes versus 162.20 minutes, P=0.018), cost was higher (74 076.69 yuan versus 54 814.73 yuan, P<0.001), and required significantly shorter hospital stay (8.27 daysversus 10.76 days, P=0.001) compared with those of the VATS group. There was no statistical difference between the two groups in terms of conversion (3 versus 0, P=0.144), blood loss during operation (61.29 ml versus 90.63 ml, P=0.213), dissected lymph node number (17.38 versus 12.63, P=0.095), drainage volume (1 406.76 ml versus 1 514.60 ml, P=0.617) and the drainage time (7.92 days versus 7.20 days, P=0.440). Conclusion In the early lung cancer patients who underwent thoracic surgery, the postoperative hospitalization time of the RATS group is shorter than that of the VATS group, and the operation time is longer than that of the VATS group. The other short-term surgical indexes are similar to those of thoracoscopic surgery. However, the robot has great advantages in the treatment of patients with difficult lymph node dissection, serious pleural adhesion and complicated anatomical relationship.
