Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis

Robotic surgery can provide less surgical trauma than conventional surgery, but differences between robotic and thoracoscopic surgery for atrial septal defect (ASD) repair are not well documented. To explore whether ASD can be repaired by thoracoscopic surgery or robotic surgery, which procedure is...

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Main Authors: Yanyi Liu, Zhuang Liu, Xin Li, Ning Li, Ruirui Kong, Yiyao Jiang, Shenglin Ge, Chengxin Zhang
Format: Article
Language:English
Published: Hindawi Limited 2022-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2022/5371493
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author Yanyi Liu
Zhuang Liu
Xin Li
Ning Li
Ruirui Kong
Yiyao Jiang
Shenglin Ge
Chengxin Zhang
author_facet Yanyi Liu
Zhuang Liu
Xin Li
Ning Li
Ruirui Kong
Yiyao Jiang
Shenglin Ge
Chengxin Zhang
author_sort Yanyi Liu
collection DOAJ
description Robotic surgery can provide less surgical trauma than conventional surgery, but differences between robotic and thoracoscopic surgery for atrial septal defect (ASD) repair are not well documented. To explore whether ASD can be repaired by thoracoscopic surgery or robotic surgery, which procedure is less invasive, and the difference in outcomes between these two procedures, this article studies 160 patients undergoing ASD repair at our institution. Sixty-five patients underwent total thoracoscopic surgery and 95 patients underwent total endoscopic robotic surgery. Propensity score matching yielded 64 well-matched patient pairs. Surgical data and early postoperative outcomes between the two matched groups were analyzed and compared. The results show that thoracoscopic and robotic surgery to repair ASD are both safe and reliable, and the early curative effect is good. However, regardless of similar complication rates, robotic surgery has a shorter time, less postoperative drainage, and faster recovery than thoracoscopic surgery.
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spelling doaj.art-b5326add58d542159c29c075cd97f9a82024-11-02T04:15:19ZengHindawi LimitedEmergency Medicine International2090-28592022-01-01202210.1155/2022/5371493Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score AnalysisYanyi Liu0Zhuang Liu1Xin Li2Ning Li3Ruirui Kong4Yiyao Jiang5Shenglin Ge6Chengxin Zhang7Department of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryRobotic surgery can provide less surgical trauma than conventional surgery, but differences between robotic and thoracoscopic surgery for atrial septal defect (ASD) repair are not well documented. To explore whether ASD can be repaired by thoracoscopic surgery or robotic surgery, which procedure is less invasive, and the difference in outcomes between these two procedures, this article studies 160 patients undergoing ASD repair at our institution. Sixty-five patients underwent total thoracoscopic surgery and 95 patients underwent total endoscopic robotic surgery. Propensity score matching yielded 64 well-matched patient pairs. Surgical data and early postoperative outcomes between the two matched groups were analyzed and compared. The results show that thoracoscopic and robotic surgery to repair ASD are both safe and reliable, and the early curative effect is good. However, regardless of similar complication rates, robotic surgery has a shorter time, less postoperative drainage, and faster recovery than thoracoscopic surgery.http://dx.doi.org/10.1155/2022/5371493
spellingShingle Yanyi Liu
Zhuang Liu
Xin Li
Ning Li
Ruirui Kong
Yiyao Jiang
Shenglin Ge
Chengxin Zhang
Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis
Emergency Medicine International
title Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis
title_full Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis
title_fullStr Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis
title_full_unstemmed Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis
title_short Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis
title_sort total thoracoscopic versus robotic surgery for repair of atrial septum defect a propensity matching score analysis
url http://dx.doi.org/10.1155/2022/5371493
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