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Open Access 10-02-2023 | NSCLC | ASO Author Reflections

ASO Author Reflections: Which Technique is Superior for Segmentectomy of Small Pulmonary Nodules: Robot-Assisted or Video-Assisted?

Authors: Mu-Zi Yang, MD, Hao-Xian Yang, MD

Published in: Annals of Surgical Oncology | Issue 5/2023

Excerpt

Segmentectomy has become a new standard of care for patients with selected peripheral-type early-stage non-small cell lung cancer (NSCLC).¹ Previous study had demonstrated that video-assisted segmentectomy (VAS) as a minimally invasive approach is safe and effective for anatomic segmentectomy.² But the deep learning curve due to the rigid chopstick-like instruments and the two-dimensional vision has hindered its application. In recent years, robot-assisted segmentectomy (RAS) has rapidly increased due to the advantages of three-dimensional vision and articulated mechanic surgical arms. However, the outcome comparison between RAS and VAS for small pulmonary nodules remains insufficient.^3,4 …

Saji H, Okada M, Tsuboi M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399:1607–17.CrossRefPubMed

Ghaly G, Kamel M, Nasar A, et al. Video-assisted thoracoscopic surgery is a safe and effective alternative to thoracotomy for anatomical segmentectomy in patients with clinical stage I non-small cell lung cancer. Ann Thorac Surg. 2016;101:465–72.CrossRefPubMed

Zhang Y, Chen C, Hu J, et al. Early outcomes of robotic versus thoracoscopic segmentectomy for early-stage lung cancer: a multi-institutional propensity score-matched analysis. J Thorac Cardiovasc Surg. 2020;160:1363–72.CrossRefPubMed

Zhou Q, Huang J, Pan F, et al. Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy. Trans Lung Cancer Res. 2020;9:306–15.CrossRef

Yang M, Tan Z, Li J, et al. Comparison of short-term outcomes between robot-assisted and video-assisted segmentectomy for small pulmonary nodules: a propensity score-matching study. Ann Surg Oncol. 2023. https://doi.org/10.1245/s10434-023-13179-y.CrossRefPubMedPubMedCentral

Title: ASO Author Reflections: Which Technique is Superior for Segmentectomy of Small Pulmonary Nodules: Robot-Assisted or Video-Assisted?
Authors: Mu-Zi Yang, MD
Hao-Xian Yang, MD
Publication date: 10-02-2023
Publisher: Springer International Publishing
Keywords: NSCLC
Pulmonary Nodule
NSCLC
Published in: Annals of Surgical Oncology / Issue 5/2023
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-023-13180-5

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ASO Author Reflections: Which Technique is Superior for Segmentectomy of Small Pulmonary Nodules: Robot-Assisted or Video-Assisted?

Excerpt

Keynote webinar | Spotlight on medication adherence

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