机器人外科学杂志（中英文）2021，Vol.2Issue(6)：451-462,12.DOI:10.12180/j.issn.2096-7721.2021.06.006
机器人与胸腔镜在早期肺癌肺段切除术中短期疗效的对比研究
Comparative study on short-term outcomes of robot- assisted and video-assisted thoracoscopic surgery in lung segmentectomy
摘要
Abstract
Objective: To compare the short-term clinical efficacy of robot-assisted thoracoscopic surgery (RATS) and video-assisted thoracoscopic surgery (VATS) in segmental resection for early lung cancer. Methods: Clinical data of 106 patients with lung cancer who underwent RATS and VATS in Gansu Provincial Hospital from January 2019 to December 2020 were retrospectively analyzed. RATS group has 49 patients, including 19 males and 30 females, with a median age of (59.13±9.38) years. 57 patients in VATS group, including 21 males and 36 females, with a median age of (60.36±10.06) years. The clinical efficacy of the two groups was compared. Results: No statistically significant difference in terms of baseline data between the two groups was found. Compared to the VATS group, the RATS group had a longer operative time (126.42min Vs 110.23min, P=0.007), less intraoperative blood loss (40.46 ml Vs 62.23 ml, P=0.016), more groups of lymph node dissection (6.32 Vs 5.21, P<0.001) and total number of lymph node dissection (13.29 Vs 10.81, P=0.023). The RATS group also had a shorter duration of chest drainage (4.29d Vs 5.66d, P=0.005) and less total thoracic drainage volume (772.53ml Vs 995.34ml, P=0.011). The postoperative pain scores 1 day after surgery of RATS group and VATS group were(1.67 Vs 2.59, P=0.031), 2 days after surgery were (2.74 Vs 3.71, P=0.025) and 3 days after surgery were (1.02 Vs 1.92, P=0.006) respectively. RATS group had a shorter postoperative hospitalization than VATS group (4.45 days Vs 6.39 days, P=0.008) but more hospital expenses (90463.37 CNY Vs 69872.21 CNY, P<0.001), the difference was statistically significant. However, there was no significant difference on conversion rate to thoracotomy, postoperative chronic cough, postoperative complications and readmission 30 days after surgery (P>0.05). Conclusion: Robotic surgery system has a lower intraoperative blood loss, shorter hospital stay, more lymph node dissection, less postoperative pain and smaller incisions, it is safe and effective in the segmental resection for early stage of lung cancer .关键词
肺癌/胸腔镜/手术机器人/肺段切除术/短期疗效Key words
Lung cancer/Thoracoscopy/Surgical robot/Segmentectomy/Short-term efficacy分类
医药卫生引用本文复制引用
王兵,刘露,杨宁,贺晓阳,崔百强,黄大新,白向豆,曾伟强,苟云久..机器人与胸腔镜在早期肺癌肺段切除术中短期疗效的对比研究[J].机器人外科学杂志（中英文）,2021,2(6):451-462,12.基金项目
甘肃省卫生行业科研计划项目(GSWSKY2020-50)Foundation Item:Health Industry Scientific Research Project of GanSu Province(GSWSKY2020-50) （GSWSKY2020-50）
