Comparison of medium-term survival outcomes between robot-assisted thoracoscopic surgery and video-assisted thoracoscopic surgery in treating primary lung cancer
| Autor: | Yuzo Takagi, Yasuaki Kubouchi, Atsuyuki Nakanishi, Tomohiro Haruki, Yuji Taniguchi, Hiroshige Nakamura, Ken Miwa, Yoshiteru Kidokoro, Shinji Matsui |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Lung Neoplasms Time Factors medicine.medical_treatment Operative Time 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Japan medicine Humans Postoperative Period Pneumonectomy Propensity Score Lung cancer Survival rate Aged Aged 80 and over Thoracic Surgery Video-Assisted business.industry Robotics General Medicine Perioperative Middle Aged Prognosis medicine.disease Cardiac surgery Surgery Survival Rate Cardiothoracic surgery 030220 oncology & carcinogenesis Mediastinal lymph node Propensity score matching Video-assisted thoracoscopic surgery Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 68:984-992 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-020-01312-7 |
| Popis: | Robot-assisted thoracoscopic surgery (RATS) for primary lung cancer has been spreading rapidly in Japan. While RATS has various technical advantages over video-assisted thoracoscopic surgery (VATS), the quality of surgery from an oncologic viewpoint must be maintained, and the evaluation of medium- to long-term survival outcomes is momentous. This study included 299 patients with primary lung cancer (VATS, n = 246; RATS, n = 53) who underwent lobectomy and mediastinal lymph node dissection at our hospital. We reviewed and compared perioperative factors, the number of dissected lymph nodes, and postoperative recurrence between the VATS and RATS groups. We also compared the postoperative survival rates among 98 patients (49 patients in each group) whose background factors were adjusted by propensity score matching (PSM). After PSM, a significant difference was found in the total operative time between the two groups (p |
| Databáze: | OpenAIRE |
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