达芬奇机器人系统与胸腔镜在肺癌根治术中的近期疗效比较及经验探讨

目的:对比分析达芬奇机器人与胸腔镜辅助非小细胞肺癌根治术的近期效果,同时结合本中心开展的经验,探讨达芬奇机器人使用过程中的心得体会.方法:分析2016年8月至2020年9月于天津医科大学肿瘤医院行手术治疗的非小细胞肺癌患者的相关临床数据,分为达芬奇机器人组和胸腔镜辅助组,两组分别纳入467例,进行围手术期关键指标分析....

A comparative study and application experience of short-term effect between da Vinci robot-assisted radical surgery and video-assisted thoracic surgery in radical resection of lung cancer

  Objective  To compare the short-term outcomes of da Vinci robot-assisted thoracic surgery (RATS) with those of video-assisted thoracic surgery (VATS) in patients with non-small cell lung cancer (NSCLC). Simultaneously, the experience with RATS at Tianjin Medical University Cancer Institute and Hospital and application experience of da Vinci robots were explored.  Methods  Clinical data were collected from patients with NSCLC who underwent radical surgery at Tianjin Medical University Cancer Institute and Hospital from August 2016 to September 2020. Patients were assigned into the RATS group and the VATS group. A total of 467 cases were included in the two groups for comparative analyses.  Results  There were significant differences in the operation time, volume of blood loss, total number of lymph nodes dissected, total number of lymph node stations dissected, number of lymph nodes dissected at N2 stations, postoperative hospital stay, and volume of drainage fluid collected on the first day between the RATS and VATS groups (all P<0.05).  Conclusions  Proficiency in the da Vinci robotic system and operation process optimization lead to safer and more feasible surgical procedures in patients with NSCLC. Furthermore, intraoperative blood loss is less, a greater number of lymph nodes are removed, and the postoperative hospital stay is shorter. The current preliminary data show that da Vinci RATS is a safe and reliable alternative to VATS.