Perioperative outcomes of robotic-assisted versus video-assisted thoracoscopic atypical segmentectomy for early-stage non-small cell lung cancer: A retrospective cohort study
- VernacularTitle:机器人与电视辅助胸腔镜非典型肺段切除术治疗早期非小细胞肺癌的回顾性队列研究
- Author:
Fuqiang DAI
1
;
Shaolin TAO
1
;
Xiaoli WU
1
;
Xintian WANG
1
;
Longyong MEI
1
;
Bo DENG
1
;
Qunyou TAN
1
Author Information
1. epartment of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China
- Publication Type:Journal Article
- Keywords:
Robotic-assisted thoracoscopic surgery;
video-assisted thoracoscopic surgery;
non-small cell lung cancer;
atypical segmentectomy;
perioperative results
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(04):557-563
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the perioperative outcomes of atypical segmentectomy between robotic-assisted thoracoscopic surgery (RATS) and conventional video-assisted thoracoscopic surgery (VATS) in early-stage non-small cell lung cancer (NSCLC). Methods The data of patients who underwent minimally invasive anatomic atypical segmentectomy in our hospital from October 2016 to December 2021 were collected. These patients were divided into a RATS group and a VATS group according to the operation method. Propensity score (PS) matching was used to select patients with close clinical baseline characteristics, and the perioperative results of the two groups were compared. Results A total of 1 048 patients were enrolled, including 320 males and 728 females, with a mean age of 53.51±11.13 years. There were 277 patients in the RATS group and 771 patients in the VATS group. After 1∶1 PS matching, 277 pairs were selected. Both groups were well balanced for age, sex, smoking history, body mass index, Charlson comorbidity index, pulmonary function, tumor size, tumor location, and histological type. All patients were R0 resection, and there were no deaths within 30 days after surgery. The RATS group had shorter operative time [85 (75, 105) min vs. 115 (95, 140) min, P<0.001] and less blood loss [50 (30, 100) mL vs. 60 (50, 100) mL, P=0.001]. There were no statistical differences between the two groups in lymph node resection, conversion to thoracotomy, thoracic drainage time, total amount of thoracic drainage or postoperative complications (P>0.05). Conclusion Both RATS and VATS atypical segment-ectomies are safe and feasible for early-stage NSCLC. RATS can effectively shorten the operative time, and reduce blood loss.
