Robot-assisted complex segmentectomy versus simple segmentectomy for stage ⅠA non-small cell lung cancer: A retrospective cohort study
- VernacularTitle:机器人辅助下复杂肺段切除术与简单肺段切除术治疗ⅠA期非小细胞肺癌的回顾性队列研究
- Author:
Yucheng HOU
1
;
Jianfeng ZHANG
1
;
Weijian SONG
1
;
Qingquan LUO
1
;
Qianjun ZHOU
1
Author Information
1. Department of Oncology Surgery, Shanghai Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, 200030, P. R. China
- Publication Type:Journal Article
- Keywords:
Da Vinci robot;
non-small cell lung cancer;
complex segmentectomy;
simple segmentectomy;
perioperative outcome
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(09):1128-1132
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the perioperative outcomes between robot-assisted complex segmentectomy and simple segmentectomy for stage ⅠA non-small cell lung cancer (NSCLC). Methods The clinical data of 285 patients with NSCLC undergoing robot-assisted thoracic surgery (RATS) in our hospital from January 2015 to August 2021 were retrospectively analyzed. There were 105 males and 180 females aged 23-83 years. The patients were divided into a complex segmentectomy group (n=170) and a simple segmentectomy group (n=115) according to tumor location and surgical method. The clinical pathological baseline characteristics and perioperative outcomes between the two groups were compared, including operative time, blood loss volume, dissected lymph nodes, conversion rate, postoperative duration of drainage, postoperative hospital stay, the incidence of persistent air leakage and postoperative 30 d mortality. Results There was no statistical difference in baseline data between the two groups (P>0.05). No postoperative 30 d death was observed. One patient in the complex segmentectomy group was transferred to thoracotomy. No statistical difference was observed between the two groups in the operative time (97.36±38.16 min vs. 94.65±31.67 min, P=0.515), postoperative duration of drainage (3.69±1.85 d vs. 3.60±1.90 d, P=0.679), postoperative hospital stay (4.07±1.85 d vs. 4.05±1.97 d, P=0.957), dissected lymph nodes (5.15±3.53 vs. 5.13±2.93, P=0.952), incidence of blood loss volume<100 mL (98.2% vs. 99.1%, P=0.650), and incidence of postoperative persistent air leakage (6.5% vs. 5.2%, P=0.661). Conclusion The safety and effectiveness of robot-assisted complex segmentectomy and simple segmentectomy are satisfactory in the treatment of stage ⅠA NSCLC. The perioperative results of RATS complex segmentectomy and simple segmentectomy are similar.
