Kuo Yung-Chia, Wu Ching-Yang, Hsieh Ming-Ju, Gonzalez-Rivas Diego, Yang Tzu-Yi, Wu Ching-Feng
Division of Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Linkou, Taiwan.
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Linkou, Taiwan.
Asian J Endosc Surg. 2025 Jan-Dec;18(1):e70006. doi: 10.1111/ases.70006.
Lung cancer remains a leading cause of mortality worldwide, with surgery being a primary treatment option for early-stage cases. Minimally invasive surgery has gained attention due to its potential benefits. Uniportal robotic-assisted thoracic surgery (RATS) is emerging as a viable option for treating lung cancer patients.
In this retrospective study, conducted from August 2023 to December 2023, we assessed the feasibility of Uniportal robotic-assisted thoracic surgery (URATS) in 15 patients with 16 lung cancers. The perioperative and 30-day short-term outcome results were collected.
Perioperative outcomes, including length of hospital stay and postoperative complications, were evaluated. No perioperative or 30-day mortality was observed, and there were no cases requiring conversion to multiport RATS or thoracotomy.
Our findings suggest that URATS can be successfully performed in lung cancer patients, provided the surgical team possesses excellent communication skills and extensive training in Uniport video-assisted thoracoscopic surgery and comprehensive RATS techniques.
肺癌仍然是全球主要的死亡原因,手术是早期病例的主要治疗选择。微创手术因其潜在益处而受到关注。单孔机器人辅助胸外科手术(RATS)正在成为治疗肺癌患者的一种可行选择。
在这项于2023年8月至2023年12月进行的回顾性研究中,我们评估了单孔机器人辅助胸外科手术(URATS)在15例患有16处肺癌的患者中的可行性。收集了围手术期和30天短期结果数据。
评估了围手术期结果,包括住院时间和术后并发症。未观察到围手术期或30天死亡率,也没有病例需要转为多孔RATS或开胸手术。
我们的研究结果表明,只要手术团队具备出色的沟通技巧,并在单孔视频辅助胸腔镜手术和综合RATS技术方面接受过广泛培训,URATS就可以在肺癌患者中成功实施。