Comparison between robot-assisted thoracoscopic surgery and video-assisted thoracoscopic surgery for mediastinal and hilar lymph node dissection in lung cancer surgery
| Autor: | Yasuaki Kubouchi, Yoshiteru Kidokoro, Yuki Oshima, Shinji Matsui, Yuji Nozaka, Atsuyuki Nakanishi, Yuzo Takagi, Hiroshige Nakamura, Tomohiro Haruki |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Thoracic Bronchopleural fistula 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Carcinoma Non-Small-Cell Lung Thoracoscopy medicine Humans Lung cancer Pneumonectomy Retrospective Studies Lung cancer surgery medicine.diagnostic_test business.industry Thoracic Surgery Video-Assisted Mediastinum Chylothorax Perioperative Robotics medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Video-assisted thoracoscopic surgery Lymph Node Excision Lymph Nodes Neoplasm Recurrence Local Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interact Cardiovasc Thorac Surg |
| ISSN: | 1569-9285 |
| Popis: | OBJECTIVES Lymph node dissection (LND) with robot-assisted thoracoscopic surgery (RATS) in lung cancer surgery has not been fully evaluated. The aim of this study was to compare LND surgical results between video-assisted thoracoscopic surgery (VATS) and RATS. METHODS We retrospectively compared perioperative parameters, including the incidence of LND-associated complications (chylothorax, recurrent and/or phrenic nerve paralysis and bronchopleural fistula), lymph node (LN) counts and postoperative locoregional recurrence, among 390 patients with primary lung cancer who underwent lobectomy and mediastinal LND by RATS (n = 104) or VATS (n = 286) at our institution. RESULTS The median total dissected LN numbers significantly differed between the RATS and the VATS groups (RATS: 18, VATS: 15; P CONCLUSIONS In this comparison, it was suggested that more LNs could be dissected using RATS than VATS, especially in bilateral superior mediastinum and hilar regions. Accumulation of more cases and longer observation periods are needed to verify whether RATS can provide the acceptable quality of LND and local control of lung cancer. |
| Databáze: | OpenAIRE |
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