Complications of Robotic Video-Assisted Thoracoscopic Surgery Compared to Open Thoracotomy for Resectable Non-Small Cell Lung Cancer

被引:18
作者
Zhang, Oscar [1 ]
Alzul, Robert [2 ]
Carelli, Matheus [2 ]
Melfi, Franca [3 ]
Tian, David [4 ]
Cao, Christopher [2 ,5 ,6 ]
机构
[1] UNSW Sydney, Fac Med & Hlth, St Vincents Healthcare Clin Campus, Sch Clin Med,UNSW Med & Hlth, Sydney, NSW 2010, Australia
[2] Univ Sydney, Royal Prince Alfred Hosp, Dept Cardiothorac Surg, Sydney, NSW 2050, Australia
[3] Univ Pisa, Robot Multispecialty Ctr Surg Robot, Minimally Invas Thorac Surg, I-56124 Pisa, Italy
[4] Westmead Hosp, Dept Anaesthesia & Perioperat Med, Westmead, NSW 2145, Australia
[5] Chris OBrien Lifehouse Hosp, Sydney, NSW 2050, Australia
[6] Baird Inst Appl Heart & Lung Surg Res, Sydney, NSW 2042, Australia
关键词
robotic-assisted surgery; minimally invasive surgery; lung cancer; lobectomy; meta-analysis; systematic review; THORACIC-SURGERY; LOBECTOMY; EXPERIENCE; METAANALYSIS; RESECTION; OUTCOMES;
D O I
10.3390/jpm12081311
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
(1) Background: Conventional open thoracotomy has been the accepted surgical treatment for resectable non-small cell lung cancer. However, newer, minimally invasive approaches, such as robotic surgery, have demonstrated similar safety and efficacy with potentially superior peri-operative outcomes. The present study aimed to quantitatively assess these outcomes through a meta-analysis. (2) Methods: A systematic review was performed using electronic databases to identify all of the relevant studies that compared robotic surgery with open thoracotomy for non-small cell lung cancer. Pooled data on the peri-operative outcomes were then meta-analyzed. (3) Results: Twenty-two studies involving 12,061 patients who underwent robotic lung resection and 92,411 patients who underwent open thoracotomy were included for analysis. Mortality rates and length of hospital stay were significantly lower in patients who underwent robotic resection. Compared to open thoracotomy, robotic surgery was also associated with significantly lower rates of overall complications, including atrial arrhythmia, post-operative blood transfusions, pneumonia and atelectasis. However, the operative times were significantly longer with robotic lung resection. (4) Conclusions: The present meta-analysis demonstrated superior post-operative morbidity and mortality outcomes with robotic lung resection compared to open thoracotomy for non-small cell lung cancer.
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页数:12
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