机器人外科学杂志（中英文）2025，Vol.6Issue(3)：388-391,397,5.DOI:10.12180/j.issn.2096-7721.2025.03.007
单孔胸腔镜与单孔机器人辅助胸腔镜下袖式肺叶切除术的效果对比(附手术视频)
Effect of uniportal video-assisted versus robot-assisted thoracoscopic sleeve lobectomy(with surgical video)
摘要
Abstract
Objective:To compare the differences in the perioperative period,operative skills,and postoperative recovery between uniportal video-assisted thoracoscopic surgery(UVATS)and uniportal robot-assisted thoracoscopic surgery(URATS)in sleeve lobectomy and evaluate the feasibility,advantages and disadvantages of the two surgical methods.Methods:43 patients who underwent sleeve lobectomy in Shanghai Pulmonary Hospital from January 2022 to October 2022 were retrospectively selected.They were divided into the UVATS group(n=23)and the URATS group(n=20)according to different surgical methods.The operative time,intraoperative bleeding loss,lymph node dissection quantity,postoperative drainage volume,length of postoperative hospital stay,and the occurrence of perioperative complications were compared between the two groups of patients.Results:All surgeries underwent smoothly without death or conversion to open surgery,and all patients were discharged from the hospital after removal of chest drains.The surgical time(except for the robot loading time),tracheal anastomosis time,intraoperative bleeding,postoperative drainage at 1 d after surgery,and incidence of postoperative complications in the URATS group were significantly less than those in the UVATS group(P<0.05).Howerer,the total operative time,lymph node dissection quantity,length of postoperative hospital stay,and drainage tube retention time showed no significant difference between the two groups(P>0.05).Conclusion:Both UVATS and URATS for sleeve lobectomy are safe and feasible.URATS outperforms UVATS in reducing the time required for free hilar and anastomotic bronchial closure,as well as decreasing the intraoperative and postoperative drainage.关键词
单孔机器人辅助胸腔镜手术/单孔胸腔镜手术/袖式肺叶切除术Key words
Uniportal Robot-assisted Thoracic Surgery/Uniportal Video-assisted Thoracoscopic Surgery/Sleeve Lobectomy分类
医药卫生引用本文复制引用
李纪文,张亚锋,梅娜,张文天,宁晔,蒋雷..单孔胸腔镜与单孔机器人辅助胸腔镜下袖式肺叶切除术的效果对比(附手术视频)[J].机器人外科学杂志（中英文）,2025,6(3):388-391,397,5.基金项目
国家自然科学基金青年科学基金(82103309)Young Scientists Fund of the National Natural Science Foundation of China(82103309) （82103309）
