Clinical analysis of robot-assisted lobectomy through anterior approach in 180 patients
- VernacularTitle:经前侧入路机器人辅助肺叶切除术180 例临床分析
- Author:
Shaolin TAO
1
;
Qingyuan LI
1
;
Poming KANG
1
;
Bin JIANG
1
;
Cheng SHEN
1
;
Yonggeng FENG
1
;
Chunshu FANG
1
;
Licheng WU
1
;
Bo DENG
1
;
Ruwen WANG
1
;
Qunyou TAN
1
Author Information
- Publication Type:Journal Article
- Keywords: Lung cancer; lobectomy; robot-assisted thoracic surgery; anterior approach
- From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2020;27(10):1140-1144
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the feasibility and clinical value of robot-assisted lobectomy through anterior approach. Methods We retrospectively analyzed the clinical data of 180 patients who underwent robot-assisted lobectomy through anterior approach in our hospital between April 2017 and February 2018. There were 97 males and 83 females, aged 59.5 (32.0-83.0) years. The clinical effects were analyzed. Results One patient was transferred to thoracotomy due to tumor invasion of adjacent blood vessels and injury to the blood vessels, and there was no perioperative death. There were 8.5 (1.0-35.0) dissected lymph nodes for each patient. The median operation time was 120 (50-360) min, including robot Docking time 5 (1-23) min and robot operation time 65 (7-270) min. The median blood loss was 50 (5-1 500) mL, 132 (73.3%) patients had malignant tumors and median drainage time was 5 (2-30) d. The mean postoperative pain score was 3.4±0.7 points and the postoperative hospital time was 8 (2-32) d. At the median follow-up of 24 months, 11 patients developed recurrence and metastasis, and 3 died. Conclusion Robot-assisted lobectomy through anterior approach is a safe and convenient operation method, which is worthy of clinical application.
