三孔充气式机器人辅助胸腔镜手术治疗纵隔肿瘤的临床效果。

Clinical efficiency of three-port inflatable robot-assisted thoracoscopic surgery in mediastinal tumor resection.

机构信息

Department of Cardiothoracic Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, PR China.

Department of Medical Oncology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, PR China.

出版信息

World J Surg Oncol. 2024 Mar 25;22(1):83. doi: 10.1186/s12957-024-03357-x.

DOI:10.1186/s12957-024-03357-x

PMID:38523264

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10962077/

Abstract

BACKGROUND

Aimed to assess clinical effect of three-port inflatable robot-assisted thoracoscopic surgery in mediastinal tumor resection by comparing results of the robot group with the video group.

METHODS

Retrospectively analyze 179 patients diagnosed with anterior mediastinal tumor from May 2017 to August 2021. Two groups were divided according to the surgical approach, including 92 cases in the RATS group and 87 cases in the VATS group. The results were analyzed between two groups with variables of age, sex, BMI, tumor size, and diagnosis. Perioperative clinical data was gathered to compare.

RESULT

There were no significant differences between the 2 groups with regards to demographic data and clinical features. There were no significant differences inoperative time and duration of chest tube via RATS vs. VATS. The intraoperative blood loss was statistically significantly different among the RATS and VATS groups (75.9 ± 39.6 vs. 97.4 ± 35.8 ml p = 0.042). The postoperative stay of patients in RATS group were significantly shorter than that in VATS group (2.3 ± 1.0 vs. 3.4 ± 1.4 day p = 0.035), CONCLUSION: Three-port inflatable robot-assisted thoracoscopic surgery for mediastinal tumor is feasible and reliable it is more advantageous, and it provides the surgeon with advice on treatment choice.

摘要

背景

旨在通过比较机器人组和视频组的结果，评估三孔充气式机器人辅助胸腔镜手术在纵隔肿瘤切除中的临床效果。

方法

回顾性分析 2017 年 5 月至 2021 年 8 月期间诊断为前纵隔肿瘤的 179 例患者。根据手术方式将两组分为 92 例 RATS 组和 87 例 VATS 组。对两组的年龄、性别、BMI、肿瘤大小和诊断等变量进行分析。收集围手术期临床资料进行比较。

结果

两组在人口统计学数据和临床特征方面无显著差异。RATS 与 VATS 相比，手术时间和胸腔引流管时间无显著差异。RATS 组与 VATS 组术中出血量有统计学差异（75.9±39.6 比 97.4±35.8 ml，p=0.042）。RATS 组患者的术后住院时间明显短于 VATS 组（2.3±1.0 比 3.4±1.4 天，p=0.035）。