Zhang Fan, Xu Lin, Lu Hongda, Ma Anqun, Wang Gongchao
Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
School of Nursing and Rehabilitation, Shandong University, Jinan, China.
Front Oncol. 2022 Jul 13;12:914059. doi: 10.3389/fonc.2022.914059. eCollection 2022.
To evaluate the short-term outcomes of uniportal video-assisted thoracoscopic surgery (UVATS) and Da Vinci robot-assisted thoracoscopic surgery (RATS) in lobectomy and lymph node (LN) dissection.
The two groups of patients with primary non-small cell lung cancer (NSCLC; RATS group, UVATS group) were matched by the propensity score to compare LN dissection and recent clinical outcomes. The results were analyzed by univariate analysis. From November 2020 to November 2021, 412 NSCLC patients (54 RATS and 358 UVATS) from a single institution of the Provincial Hospital affiliated with Shandong First Medical University were included in the analysis. Age, sex, lung lobe, surgical resection scope, solid nodules, and core tumor ratios were matched according to different surgical methods.
From November 2020 to November 2021, 412 patients with NSCLC (54 RATS, 358 UVATS) from the Provincial Hospital affiliated with Shandong First Medical University were included in the analysis. According to our matching results, LN dissection was more thorough in the RATS group.
RATS has potential advantages over UVATS in radical lung cancer surgery.
评估单孔电视辅助胸腔镜手术（UVATS）和达芬奇机器人辅助胸腔镜手术（RATS）在肺叶切除及淋巴结（LN）清扫中的短期疗效。
对两组原发性非小细胞肺癌患者（RATS组、UVATS组）进行倾向评分匹配，以比较LN清扫情况及近期临床疗效。采用单因素分析方法对结果进行分析。2020年11月至2021年11月，纳入山东第一医科大学附属省立医院同一机构的412例NSCLC患者（54例RATS手术，358例UVATS手术）进行分析。根据不同手术方式，对年龄、性别、肺叶、手术切除范围、实性结节及肿瘤核心比例进行匹配。
2020年11月至2021年11月，纳入山东第一医科大学附属省立医院的412例NSCLC患者（54例RATS手术，358例UVATS手术）进行分析。根据匹配结果，RATS组的LN清扫更彻底。
在肺癌根治性手术中，RATS比UVATS具有潜在优势。
