Clinical Efficacy of Da Vinci Robot-assisted Subxiphoid Versus Lateral Thoracic Approach for Treatment of Anterior Mediastinal Tumors
10.3971/j.issn.1000-8578.2023.22.1388
- VernacularTitle:达芬奇机器人辅助经剑突下与经侧胸入路治疗前纵隔肿瘤的临床疗效比较
- Author:
Ziqiang HONG
1
;
Yannan SHENG
;
Xiangdou BAI
;
Baiqiang CUI
;
Yingjie LU
;
Xusheng WU
;
Tao CHENG
;
Dacheng JIN
;
Yunjiu GOU
Author Information
1. The First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou 730000, China
- Publication Type:Research Article
- Keywords:
Robot-assisted thoracoscopic surgery;
Anterior mediastinal tumor;
Subxiphoid approach;
Lateral thoracic approach;
Laryngeal mask anesthesia
- From:
Cancer Research on Prevention and Treatment
2023;50(6):598-602
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the perioperative efficacy and safety of da Vinci robot-assisted thoracoscopic surgery (RATS) for treatment of anterior mediastinal tumors through subxiphoid versus lateral thoracic approaches under the laryngeal mask anesthesia. Methods We retrospectively analyzed the clinical data of 102 patients with anterior-mediastinal tumors treated by RATS under laryngeal mask anesthesia completed by the same operator. Forty-five patients underwent the subxiphoid approach (subxiphoid group), and 57 patients were treated with the lateral thoracic approach (lateral thoracic group). The operating time, intraoperative bleeding, and total postoperative drainage volume in the two groups were compared and analyzed. Results All patients successfully completed resection of the anterior mediastinal tumor without the occurrence of perioperative death. In terms of total postoperative drainage volume, postoperative drainage time, postoperative hospital stay, and VAS pain on postoperative days 2 and 3, the subxiphoid group was more advantages (P < 0.05). No statistically significant difference was found between the two groups in terms of operative time, docking time, total operative time, intraoperative bleeding volume, postoperative day 1 VAS pain score, or postoperative complications (P > 0.05). Conclusion The subxiphoid approach of RATS is safe and feasible for resection of anterior mediastinal tumors. Compared with the lateral thoracic approach, the subxiphoid approach has advantages in terms of rapid postoperative recovery and postoperative pain.
