First Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, China.
Department of Respiratory, Gansu Provincial Hospital, Lanzhou, China.
Asian J Surg. 2023 Oct;46(10):4191-4195. doi: 10.1016/j.asjsur.2022.11.029. Epub 2022 Nov 28.
To analyze the short-term effect of Da Vinci robot-assisted thoracoscopic (RATS) bronchial sleeve lobectomy, so as to summarize its safety and effectiveness.
It was a retrospective single-center study with the inclusion of 22 cases receiving RATS lobectomy and 49 cases of traditional thoracoscopic surgery. Further comparison was performed focusing on the baseline characteristics and perioperative performance of the two groups.
Compared with the traditional thoracoscopic surgery group, RATS group had more advantages in the number of lymph nodes dissected (P = 0.003), shorter postoperative length of stay in the hospital (P = 0.040), shorter drainage time (P = 0.022), reduced drainage volume (P = 0.001). Moreover, this study found for the first time that there was a shortening in the operation of sleeve lobectomy by using Da Vinci robot-assisted surgical system (P = 0.001). The operation cost of RATS group is more expensive (96000 ± 9100.782 vs 63000 ± 5102.563 yuan; P＜0.001).
Compared with the traditional thoracoscopic bronchial sleeve lobectomy, RATS lobectomy shows advantages of higher operating sensitivity, shorter operation time, faster postoperative recovery, and more lymph nodes dissected. Collectively, RATS bronchial sleeve lobectomy is safe and effective in operation.
分析达芬奇机器人辅助胸腔镜（RATS）支气管袖状切除术的近期疗效，总结其安全性和有效性。
回顾性单中心研究纳入 22 例行 RATS 肺叶切除术和 49 例行传统胸腔镜手术的患者。进一步比较两组患者的基线特征和围手术期表现。
与传统胸腔镜手术组相比，RATS 组在淋巴结清扫数量（P=0.003）、术后住院时间（P=0.040）、引流时间（P=0.022）、引流量（P=0.001）方面更具优势。此外，本研究首次发现达芬奇机器人辅助手术系统可缩短袖状切除术的手术时间（P=0.001）。RATS 组的手术费用更昂贵（96000±9100.782 元比 63000±5102.563 元；P＜0.001）。
与传统的胸腔镜支气管袖状肺叶切除术相比，RATS 肺叶切除术具有操作敏感性更高、手术时间更短、术后恢复更快、淋巴结清扫更多的优势。总的来说，RATS 支气管袖状切除术在手术操作中是安全有效的。
