Demir Adalet, Ayalp Kemal, Ozkan Berker, Kaba Erkan, Toker Alper
Thoracic Surgery Department, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey
Thoracic Surgery Department, Group Florence Nightingale Istanbul Hospital, Istanbul, Turkey.
Interact Cardiovasc Thorac Surg. 2015 Mar;20(3):304-9. doi: 10.1093/icvts/ivu399. Epub 2014 Dec 4.
The experience with robotic techniques (RATS) and video-assisted thoracic surgery (VATS) in pulmonary segmentectomy is still limited. We evaluated our prospectively recorded database to compare two different minimally invasive techniques.
Between May 2007 and July 2014, a total of 99 patients underwent RATS (n = 34) and VATS (n = 65) pulmonary segmentectomies at two institutions. The median age of patients was 59 ± 15 (16-84) years, and 61% were male. Seventy-six patients were operated on for malignancy and 23 for benign diseases.
The major morbidity and mortality rates were 24-23% and 0-1.5% for RATS and VATS (P = 0.57) and (P = 0.66), respectively. The mean console time for RATS was longer than the mean operation time for VATS [76 ± 23 (40-150) vs 65 ± 22 (30-120) min (P = 0.018)]. The mean duration of drainage was similar for RATS and VATS [3.53 ± 2.3 (1-10) days vs 3.98 ± 3.6 (1-21) (P = 0.90)], respectively. The duration of postoperative stay for RATS was 4.65 ± 1.94 (2-10) days and for VATS was 6.16 ± 4.7 (2-24) days (P = 0.39).
Both RATS and VATS pulmonary segmentectomy operations are performed with similar morbidity and mortality rates. Although the duration of operation is longer in RATS when compared with an established VATS programme, there is a tendency towards a shorter postoperative stay.
机器人技术（RATS）和电视辅助胸腔镜手术（VATS）在肺段切除术中的应用经验仍然有限。我们评估了前瞻性记录的数据库，以比较两种不同的微创技术。
2007年5月至2014年7月期间，共有99例患者在两家机构接受了RATS（n = 34）和VATS（n = 65）肺段切除术。患者的中位年龄为59±15（16 - 84）岁，61%为男性。76例患者因恶性肿瘤接受手术，23例因良性疾病接受手术。
RATS和VATS的主要发病率和死亡率分别为24 - 23%和0 - 1.5%（P = 0.57）和（P = 0.66）。RATS的平均控制台时间比VATS的平均手术时间长[76±23（40 - 150）分钟对65±22（30 - 120）分钟（P = 0.018）]。RATS和VATS的平均引流持续时间相似[3.53±2.3（1 - 10）天对3.98±3.6（1 - 21）天（P = 0.90）]。RATS的术后住院时间为4.65±1.94（2 - 10）天，VATS为6.16±4.7（2 - 24）天（P = 0.39）。
RATS和VATS肺段切除术的发病率和死亡率相似。尽管与成熟的VATS方案相比，RATS的手术时间较长，但术后住院时间有缩短的趋势。
