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机器人电视辅助胸腔镜手术全肺切除术治疗肺癌的系统评价

Systematic review of robotic video-assisted thoracoscopic surgery total pneumonectomy for lung cancer.

作者信息

Coco Danilo, Leanza Silvana, Viola Massimo Giuseppe

机构信息

Department of General Surgery, Giglio Hospital Foundation, Cefalù (PA), Italy.

出版信息

Kardiochir Torakochirurgia Pol. 2024 Jun;21(2):99-101. doi: 10.5114/kitp.2024.141147. Epub 2024 Jun 30.

Abstract

INTRODUCTION

This systematic review aims to provide a comprehensive evaluation of the literature on robotic video-assisted thoracoscopic surgery (VATS) pneumonectomy.

AIM

To evaluate its effectiveness and safety in treating various lung diseases.

METHODS

A thorough search of electronic databases was conducted, and 25 studies encompassing 1,650 patients were included in the review.

RESULTS

The review found that robotic VATS pneumonectomy surgery is a safe and effective alternative to traditional open surgery for the treatment of various lung diseases, particularly early-stage lung cancer. The surgery is associated with shorter hospitalizations, less blood loss, and less postoperative pain when compared to traditional open surgery.

CONCLUSIONS

However, long-term survival outcomes were not significantly different between robotic and open surgery. The review also highlights the need for further studies to determine the optimal use of robotic VATS pneumonectomy surgery in different clinical scenarios and to determine whether the benefits of this technique outweigh the costs. Overall, this systematic review suggests that robotic VATS pneumonectomy surgery is a safe and effective technique that can be used as an alternative to traditional open surgery.

摘要

引言

本系统评价旨在全面评估有关机器人电视辅助胸腔镜手术(VATS)肺切除术的文献。

目的

评估其在治疗各种肺部疾病中的有效性和安全性。

方法

对电子数据库进行了全面检索,纳入了25项研究,共1650例患者。

结果

该评价发现,机器人VATS肺切除术是治疗各种肺部疾病,特别是早期肺癌的一种安全有效的传统开放手术替代方法。与传统开放手术相比,该手术住院时间更短、失血更少、术后疼痛更轻。

结论

然而,机器人手术和开放手术的长期生存结果并无显著差异。该评价还强调需要进一步研究,以确定机器人VATS肺切除术在不同临床场景中的最佳应用,并确定该技术的益处是否超过成本。总体而言,本系统评价表明,机器人VATS肺切除术是一种安全有效的技术,可作为传统开放手术的替代方法。

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Robotic thymectomy: a review of techniques and results.机器人辅助胸腺切除术:技术与结果综述
Kardiochir Torakochirurgia Pol. 2023 Mar;20(1):36-44. doi: 10.5114/kitp.2023.126097. Epub 2023 Apr 3.
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Current status of robot-assisted thoracoscopic surgery for lung cancer.机器人辅助胸腔镜肺癌手术的现状。
Surg Today. 2019 Oct;49(10):795-802. doi: 10.1007/s00595-019-01793-x. Epub 2019 Mar 11.

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