Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy

Objective: To analyze the short-term effect of Da Vinci robot-assisted thoracoscopic (RATS) bronchial sleeve lobectomy, so as to summarize its safety and effectiveness. Methods: It was a retrospective single-center study with the inclusion of 22 cases receiving RATS lobectomy and 49 cases of traditi...

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Main Authors: Dacheng Jin, Qiang Dai, Songchen Han, Kai Wang, Qizhou Bai, Yunjiu Gou
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Asian Journal of Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958422015895
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author Dacheng Jin
Qiang Dai
Songchen Han
Kai Wang
Qizhou Bai
Yunjiu Gou
author_facet Dacheng Jin
Qiang Dai
Songchen Han
Kai Wang
Qizhou Bai
Yunjiu Gou
author_sort Dacheng Jin
collection DOAJ
description Objective: To analyze the short-term effect of Da Vinci robot-assisted thoracoscopic (RATS) bronchial sleeve lobectomy, so as to summarize its safety and effectiveness. Methods: It was a retrospective single-center study with the inclusion of 22 cases receiving RATS lobectomy and 49 cases of traditional thoracoscopic surgery. Further comparison was performed focusing on the baseline characteristics and perioperative performance of the two groups. Results: Compared with the traditional thoracoscopic surgery group, RATS group had more advantages in the number of lymph nodes dissected (P = 0.003), shorter postoperative length of stay in the hospital (P = 0.040), shorter drainage time (P = 0.022), reduced drainage volume (P = 0.001). Moreover, this study found for the first time that there was a shortening in the operation of sleeve lobectomy by using Da Vinci robot-assisted surgical system (P = 0.001). The operation cost of RATS group is more expensive (96000 ± 9100.782 vs 63000 ± 5102.563 yuan; P<0.001). Conclusion: Compared with the traditional thoracoscopic bronchial sleeve lobectomy, RATS lobectomy shows advantages of higher operating sensitivity, shorter operation time, faster postoperative recovery, and more lymph nodes dissected. Collectively, RATS bronchial sleeve lobectomy is safe and effective in operation.
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spelling doaj.art-3bd8621187524fd08318ba4a4b32f7882023-10-01T05:57:33ZengElsevierAsian Journal of Surgery1015-95842023-10-01461041914195Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomyDacheng Jin0Qiang Dai1Songchen Han2Kai Wang3Qizhou Bai4Yunjiu Gou5First Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, ChinaDepartment of Respiratory, Gansu Provincial Hospital, Lanzhou, ChinaFirst Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, ChinaFirst Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, ChinaFirst Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, ChinaFirst Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, China; Corresponding author. First Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, China.Objective: To analyze the short-term effect of Da Vinci robot-assisted thoracoscopic (RATS) bronchial sleeve lobectomy, so as to summarize its safety and effectiveness. Methods: It was a retrospective single-center study with the inclusion of 22 cases receiving RATS lobectomy and 49 cases of traditional thoracoscopic surgery. Further comparison was performed focusing on the baseline characteristics and perioperative performance of the two groups. Results: Compared with the traditional thoracoscopic surgery group, RATS group had more advantages in the number of lymph nodes dissected (P = 0.003), shorter postoperative length of stay in the hospital (P = 0.040), shorter drainage time (P = 0.022), reduced drainage volume (P = 0.001). Moreover, this study found for the first time that there was a shortening in the operation of sleeve lobectomy by using Da Vinci robot-assisted surgical system (P = 0.001). The operation cost of RATS group is more expensive (96000 ± 9100.782 vs 63000 ± 5102.563 yuan; P<0.001). Conclusion: Compared with the traditional thoracoscopic bronchial sleeve lobectomy, RATS lobectomy shows advantages of higher operating sensitivity, shorter operation time, faster postoperative recovery, and more lymph nodes dissected. Collectively, RATS bronchial sleeve lobectomy is safe and effective in operation.http://www.sciencedirect.com/science/article/pii/S1015958422015895Non-small cell lung cancerDa Vinci robot-assisted surgical systemSleeve resection and anastomosisThoracoscopyFollow-up
spellingShingle Dacheng Jin
Qiang Dai
Songchen Han
Kai Wang
Qizhou Bai
Yunjiu Gou
Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy
Asian Journal of Surgery
Non-small cell lung cancer
Da Vinci robot-assisted surgical system
Sleeve resection and anastomosis
Thoracoscopy
Follow-up
title Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy
title_full Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy
title_fullStr Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy
title_full_unstemmed Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy
title_short Effect of da Vinci robot-assisted versus traditional thoracoscopic bronchial sleeve lobectomy
title_sort effect of da vinci robot assisted versus traditional thoracoscopic bronchial sleeve lobectomy
topic Non-small cell lung cancer
Da Vinci robot-assisted surgical system
Sleeve resection and anastomosis
Thoracoscopy
Follow-up
url http://www.sciencedirect.com/science/article/pii/S1015958422015895
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