Department of Hepatopancreatobiliary Surgery, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, Jiangsu, China.
Department of Thoracic Surgery, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, Jiangsu, China.
J Cardiothorac Surg. 2024 Jun 26;19(1):377. doi: 10.1186/s13019-024-02920-7.
At present, research comparing the short-term postoperative outcomes of anatomical resection in lung cancer under different ports of da Vinci robot-assisted surgery is insufficient. This report aimed to compare the outcomes of three-port and four-port da Vinci robot-assisted thoracoscopic surgery for radical dissection of lung cancer.
171 consecutive patients who presented to our hospital from January 2020 to October 2021 with non-small cell lung cancer and treated with da Vinci robot-assisted thoracoscopic surgery for radical resection of lung cancer were retrospectively collected and divided into the three-port group (n = 97) and the four-port group (n = 74). The general clinical data, perioperative data and life quality were individually compared between the two groups.
All the 171 patients successfully underwent surgeries. Compared to the four-port group, the three-port group had comparable baseline characteristics in terms of age, sex, tumor location, tumor size, history of chronic disease, pathological type, and pathological staging. The three-port group also had shorter operation time, less intraoperative blood loss, lower chest tube drainage volume, shorter postoperative hospitalization stay durations, but showed no statistically significant difference (P > 0.05). Postoperative 24, 48 and 72 h visual analogue scale pain scores were lower in the three-port group (p < 0.001). No significant difference was observed between the two groups in the hospitalization costs (P = 0.664), number or stations of total lymph node dissected (p > 0.05) and postoperative respiratory complications (P > 0.05).
The three-port robot-assisted thoracoscopic surgery is safe and effective and took better outcomes than the four-port robot-assisted thoracoscopic surgery in non-small cell lung cancer.
目前，比较达芬奇机器人辅助手术不同端口下解剖性肺癌切除术后短期结局的研究还不够。本报告旨在比较三孔和四孔达芬奇机器人辅助胸腔镜手术治疗非小细胞肺癌根治性解剖的结果。
回顾性收集了 2020 年 1 月至 2021 年 10 月我院收治的 171 例非小细胞肺癌患者，均采用达芬奇机器人辅助胸腔镜手术行肺癌根治性切除术，分为三孔组（n=97）和四孔组（n=74）。分别比较两组患者的一般临床资料、围手术期资料和生活质量。
所有 171 例患者均顺利完成手术。与四孔组相比，三孔组患者在年龄、性别、肿瘤部位、肿瘤大小、慢性病史、病理类型、病理分期等方面均具有可比性。三孔组手术时间更短，术中出血量更少，胸腔引流管引流量更少，术后住院时间更短，但差异无统计学意义（P>0.05）。三组术后 24、48、72 小时视觉模拟评分疼痛均较低（P<0.001）。两组住院费用（P=0.664）、总淋巴结清扫数或站数（P>0.05）和术后呼吸并发症（P>0.05）差异均无统计学意义。
三孔机器人辅助胸腔镜手术安全有效，在非小细胞肺癌中优于四孔机器人辅助胸腔镜手术。
