Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2018 Mar 20;21(3):206-211.
doi: 10.3779/j.issn.1009-3419.2018.03.18.

[A Paired Case Controlled Study Comparing the Short-term Outcomes of Da Vinci RATS and VATS Approach for Non-small Cell Lung Cancer]

[Article in Chinese]
Feng Dai  1 , Shiguang Xu  1 , Wei Xu  1 , Renquan Ding  1 , Bo Liu  1 , Hao Meng  1 , Yunteng Kang  1 , Xiangrui Meng  1 , Jie Lin  1 , Shumin Wang  1
Affiliations
Comparative Study

[A Paired Case Controlled Study Comparing the Short-term Outcomes of Da Vinci RATS and VATS Approach for Non-small Cell Lung Cancer]

[Article in Chinese]
Feng Dai et al. Zhongguo Fei Ai Za Zhi. .

Abstract
in English, Chinese

Background: Da Vinci Surgical System is one of the greatest inventions of the 20th century, which represents the development direction of the precise minimally invasive surgical techniques, the aim of this study was to comparing the short-term outcomes between da Vinci robot-assisted lobectomy and video-assisted thoracic surgery (VATS) lobectomy for non-small cell lung cancer.

Methods: 45 pairs of non-small cell lung cancer patients underwent pulmonary lobectomy with da Vinci Robotic assisted thoracoscopic (RATS) and VATS approach during the same period from January 2014 to January 2017. The operative time, estimated blood loss (EBL), total number and total groups of dissected lymph nodes, postoperative duration of drainage, the first day volume of drainage, total volume of drainage were compared.

Results: No perioperative death and convertion to thoracotomy occured in both groups. There were significant difference between RATS group and VATS group in EBL [(50.30±32.33) mL vs (208.60±132.63) mL], the first day volume of drainage [(275.00±145.42) mL vs (347.60±125.80) mL], the dissected total number [(22.67±9.67) vs (15.51±5.41)] and total team [(6.31±1.43) vs (4.91±1.04)] of lymph node. There were no significant difference in other outcomes.

Conclusions: RATS is safe and effective and took better short-outcomes than VATS in non-small cell lung cancer.

背景与目的 作为20世纪最伟大发明之一的达芬奇机器人手术系统代表了精准微创外科的发展方向，本文旨在比较达芬奇机器人与电视胸腔镜辅助肺癌根治术的近期疗效。方法 回顾性分析自2014年1月-2017年1月在我院行达芬奇机器人手术以及行电视胸腔镜辅助手术治疗非小细胞肺癌患者的相关临床资料，两组各纳入45例并进行配对的病例对照研究。比较两组的手术时间、术中失血量、术中淋巴结清扫数量、淋巴结清扫站数、术后带管时间、术后住院天数、术后第1日胸引液的量以及术后胸引液的总量。结果 两组均无中转开胸及围术期死亡病例。机器人组与胸腔镜组的术中失血量[（50.30±32.33）mL vs（208.60±132.63）mL]与术后第1日胸引液的量[（275.00±145.42）mL vs（347.60±125.80）mL]比较，机器人组均少于胸腔镜组；机器人组与胸腔镜组的淋巴结清扫数量[（22.67±9.67）个 vs（15.51±5.41）个]及淋巴结清扫站数[（6.31±1.43）站 vs （4.91±1.04）站]比较，机器人组均多于胸腔镜组，差异具有统计学意义；两组的其他指标比较，差异均无统计学意义。结论 达芬奇机器人行非小细胞肺癌根治术安全、有效，在近期术后疗效上优于胸腔镜组。.

Keywords: Lung neoplsms; Matching case-control study; Robot-assisted thoracic surgery; Short-term outcomes; Video-assisted thoracic surgery.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Siegel RL, Miller KD, Jemal A. Cancer Statistics, 2017. CA Cancer J Clin. 2017;67:7–30. doi: 10.3322/caac.21387. - DOI - PubMed
    1. Lim E, Baldwin D, Beckles M, et al. Guidelines on the radical management of patients with lung cancer. Thorax. 2010;65(suppl 3):1–27. doi: 10.1136/thx.2010.145938. - DOI - PubMed
    1. Lewis RJ, Caccavale RJ, Sister GE, et al. Video-assisted thoracic surgical resection of malignant lung tumors. J Thorac Cardiovasc Surg. 1992;104(6):1679–1687. doi: 10.1016/0169-5002(93)90256-W. - DOI - PubMed
    1. Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small cell lung cancer. J Clin Oncol. 2009;27:2553–2562. - PubMed
    1. Kirby TJ, Mack MJ, Landreneau RJ, et al. Lobectomy: video-assisted thoracic surgery versus muscle-sparing thoracotomy. A randomized trial. J Thorac Cardiovasc Surg. 1995;109:1001–1002. doi: 10.1016/S0022-5223(95)70326-8. - DOI - PubMed

Publication types