Testori Alberto, Giudici Veronica Maria, Voulaz Emanuele, Alloisio Marco, Bottoni Edoardo
Division of Thoracic Surgery, Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, 20089 Milan, Italy.
Department of Biomedical Sciences, Humanitas University, Rozzano, 20089 Milan, Italy.
J Clin Med. 2022 Feb 19;11(4):1108. doi: 10.3390/jcm11041108.
Since the application of mini-invasive surgery to pulmonary lobectomy, various studies confirmed the feasibility and the safety of the technique, with equivalent oncological standards. However, there are no studies that compare long-term postoperative pain in minimally invasive thoracic surgery.
Between 1 January 2019 and 28 February 2020, we analysed pain scores at 2 weeks, 3 months, 6 months, and 1 year after the operation, where 50 patients underwent a VATS lobectomy and 50 underwent a RATS lobectomy. Pain scores are obtained through a telephone questionnaire, according to a Numerical Rating Scale (NRS).
The medias of the NRS scores, at 2 weeks, 3 months, 6 months, and 1 year after the operation were similar in both groups. Group I was composed of 50 patients who underwent a video-assisted lobectomy, while Group II was composed of 50 patients who underwent a robotic-assisted lobectomy. Two weeks after surgery Group I had a NRS value of 2.96 and in Group II it was 2.86; three months after in Group I the value was 2.16 and in Group II it was 2.06; six months after Group I 's value was 1.62 and Group II's was 1.56; one year after in Group I the value was 1.30 and in the Group II was 1.24. For each time interval, no statistically significant differences were found ( > 0.05).
In our analysis, RATS and VATS did not have significant differences in post-operative and long-term pain.
自从微创手术应用于肺叶切除术后，各种研究证实了该技术的可行性和安全性，且肿瘤学标准相当。然而，尚无研究比较微创胸外科手术后的长期疼痛情况。
在2019年1月1日至2020年2月28日期间，我们分析了50例行电视辅助胸腔镜肺叶切除术（VATS）和50例行机器人辅助胸腔镜肺叶切除术（RATS）患者术后2周、3个月、6个月和1年的疼痛评分。疼痛评分通过电话问卷调查，依据数字评分量表（NRS）获得。
两组患者术后2周、3个月、6个月和1年的NRS评分中位数相似。第一组由50例行电视辅助肺叶切除术的患者组成，第二组由50例行机器人辅助肺叶切除术的患者组成。术后2周，第一组NRS评分为2.96，第二组为2.86；术后3个月，第一组评分为2.16，第二组为2.06；术后6个月，第一组评分为1.62，第二组为1.56；术后1年，第一组评分为1.30，第二组为1.24。在每个时间间隔，均未发现统计学上的显著差异（>0.05）。
在我们的分析中，RATS和VATS在术后及长期疼痛方面无显著差异。
