Robotic and thoracoscopic segmentectomy in the treatment for non-small cell lung cancer: A propensity score-matched study
- VernacularTitle:机器人与胸腔镜肺段切除术治疗非小细胞肺癌的倾向性评分匹配研究
- Author:
Xiao WU
1
;
Jinming XU
1
;
Ying WANG
2
;
Pengzhi NI
1
;
Luming WANG
1
;
Zhehao HE
1
;
Jian HU
1
Author Information
1. Department of Cardiovascular and Thoracic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310000, P.R.China
2. Department of Operating Room, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310000, P.R.China
- Publication Type:Journal Article
- Keywords:
Lung cancer;
segmentectomy;
robot-assisted surgery;
video-assisted thoracic surgery (VATS);
surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(10):1150-1154
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficiency of robotic lung segmentectomy. Methods The clinical data of 110 patients receiving robotic or thoracoscopic segmentectomy in our hospital between June 2015 and June 2019 were retrospectively analyzed. The patients were divided into a robotic group [n=50, 13 males and 37 females aged 53.0 (46.0, 60.0) years] and a thoracoscopic group [n=60, 21 males and 39 females aged 61.0 (53.0, 67.0) years]. A propensity score-matched analysis was adopted to compare the perioperative data between the two groups. Results After the propensity score-matched analysis, 34 patients were included in each group. In comparison with the thoracoscopic group, patients in the robotic group had less blood loss [40.0 (20.0, 50.0) mL vs. 60.0 (40.0, 80.0) mL, P<0.001], more stations of lymph node dissection [7.0 (6.0, 8.0) vs. 4.0 (3.0, 6.0), P<0.001], larger number of lymph node dissection [15.0 (11.0, 21.0) vs. 10.0 (6.0, 14.0), P=0.002], and a higher total cost of hospitalization [97.0 (92.0, 103.0) thousand yuan vs. 54.0 (42.0, 59.0) thousand yuan, P<0.001]. Conclusion In contrast with the thoracoscopic segmentectomy, robotic segmentectomy has a similar operative safety, but less blood loss and a thorough lymphadenectomy.
