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General Thoracic and Cardiovascular Surgery

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Open Access 07-11-2023 | Lung Cancer | Original Article

A comparative study of robot-assisted thoracoscopic surgery and conventional approaches for short-term outcomes of anatomical segmentectomy

Authors: Tomohiro Haruki, Yasuaki Kubouchi, Yoshiteru Kidokoro, Shinji Matsui, Takashi Ohno, Shunsuke Kojima, Hiroshige Nakamura

Published in: General Thoracic and Cardiovascular Surgery | Issue 5/2024

Abstract

Objectives

Since anatomical segmentectomy requires meticulous dissection of the segmental pulmonary vessels and bronchus, robot-assisted thoracoscopic surgery (RATS) has been widely adopted in recent years. We investigated the usefulness of RATS segmentectomy by comparing perioperative outcomes with conventional approaches including open thoracotomy or video-assisted thoracoscopic surgery (VATS). We compared perioperative outcomes of segmentectomy between RATS and conventional approaches including open thoracotomy or video-assisted thoracoscopic surgery (VATS).

Methods

This single-institutional retrospective study comprised 231 patients with primary lung cancer who underwent segmentectomy by RATS or conventional approaches between January 2011 and December 2022. Surgical outcomes and postoperative complications were analyzed among patients whose background factors were adjusted by propensity score matching (PSM).

Results

Before PSM, there were significant differences in age, smoking status, and types of segmentectomy. After PSM, 126 patients (63 patients in each group) were included in this analysis. The RATS group had significantly shorter operative time (154 vs 210 min; p < 0.01), fewer bleeding amounts (10 vs 40 mL; p < 0.01), and shorter duration of chest drainage (2 vs 2 days; p = 0.04) than the conventional-approach group. There was no significant difference in the incidence of all complications; however, the incidence of postoperative pneumonia was significantly lower than in the conventional-approach group (p = 0.02).

Conclusions

RATS segmentectomy is proposed to be useful. It was suggested that RATS segmentectomy may be useful with better perioperative results than the conventional approach. Further studies on oncological long-term outcomes and cost–benefit comparisons are needed.

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Title: A comparative study of robot-assisted thoracoscopic surgery and conventional approaches for short-term outcomes of anatomical segmentectomy
Authors: Tomohiro Haruki
Yasuaki Kubouchi
Yoshiteru Kidokoro
Shinji Matsui
Takashi Ohno
Shunsuke Kojima
Hiroshige Nakamura
Publication date: 07-11-2023
Publisher: Springer Nature Singapore
Keywords: Lung Cancer
Lung Cancer
Lung Cancer
Thoracotomy
Published in: General Thoracic and Cardiovascular Surgery / Issue 5/2024
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-023-01983-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A comparative study of robot-assisted thoracoscopic surgery and conventional approaches for short-term outcomes of anatomical segmentectomy

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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