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Purpose This study was performed to compare the application of robot-assisted thoracoscopic surgery with video-assisted thoracoscopic surgery in the treatment of pulmonary sequestration (PS) in children. Methods Clinical data of 128 consecutive pediatric patients undergoing robot-assisted thoracoscopic surgery or video-assisted thoracoscopic surgery for PS from May 2019 to July 2022 at our institution were reviewed. 62 patients underwent robotic-assisted thoracoscopic surgery (RATS group)，while 66 patients underwent video-assisted thoracoscopic surgery (VATS group). There were no significant differences in age, weight, gender, type of PS, preoperative infection and surgical method between the two groups. Aberrant artery was ligated with silk suture or vascular clips and lobectomy, partial lobectomy or sequestrectomy was performed depending on the type of lesion in the two groups. Perioperative outcomes were compared between the two groups to evaluate the efficacy of the RATS. Results Neither group had surgical mortality.One case in each group required conversion to thoracotomy (1/62 vs 1/66, P>0.999).The median operation time of the RATS group was 77.5(60.0,111.3) minutes, while the VATS group was 60.0(40.0,75.0)minutes which had a significant difference (PConclusion Although there was limitation of application of RATS in low-age, low-weight infants, RATS was a feasible and safe approach for pediatric patients with PS over 6 months and more than 7kg in weight. Furthermore, due to the enhanced vision and hand-wrist control, RATS had some advantages over VATS with less intraoperative blood loss and shorter postoperative drainage time and hospital duration. |
