Da Vinci Robotic Lung Segmentectomy and Thoracoscopic Lung Segmentectomy: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

Abudumailamu·Abuduwufuer , BAOFei-chao , YUANXiao-shuai ,  HUJian

Department of Cardiovascular and Thoracic surgery of The First Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310000, P. R. China;

Corresponding author：

HUJian, Email: hujian_med@163.com

Keywords：

Lung segmentectomy; Robotic surgery; Thoracoscopic

DOI：

10.7507/1007-4848.20150226

Video：

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Objective To evaluate the curative and economic effect of da Vinci robotic lung segmentectomy. Method We retrospectively analyzed clinical data of 13 patients who underwent robotic lung segmentectomy (as a robotic group) and 35 patients who underwent thoracoscopic lung segmentectomy (as a thoracoscopic group) in our hospital between September 2014 and April 2015. There were 4 males and 9 females at age of 43-73 (59.1±8.9) years in the robot group and 17 males and 18 females in the thoracoscopic group at age of 30-79 (59.1+12.0) years. Effects of the two groups were compared. Results Postoperative hospitalization time in the robotic group was shorter than that in the thoracoscopic group (4.4±0.8 d vs. 6.3±2.5 d, P<0.05). But the cost of hospitalization in the robotic group was higher than that in the thoracoscopic group (P<0.05). The surgery indwelling catheter time and incidence of complications in the robotic group were lower than those in the thoracoscopic group with no statistical difference (P=0.053, 0.081). Conclusion Robotic lung segmentectomy is a safe and feasible operation method. With the further accumulation of clinical experience and decrease of the cost of materials, the robot will play a more important role in the future of minimally invasive thoracic surgery.

Citation： Abudumailamu·Abuduwufuer, BAOFei-chao, YUANXiao-shuai, HUJian. Da Vinci Robotic Lung Segmentectomy and Thoracoscopic Lung Segmentectomy: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 901-905. doi: 10.7507/1007-4848.20150226 Copy

1.	Jemal A,Center MM,DeSantis C,et al.Global patterns of cancer incidence and mortality rates and trends.Cancer Epidemiol Biomarkers Prev,2010,19(8):1893-1907.
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5.	Ren M,Meng Q,Zhou W,et al.Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer.Onco Targets Ther,2014,24(7):1343-1347.
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9.	Koike T1,Koike T,Yamato Y,et al.Predictive risk factors for mediastinal lymph node metastasis in clinical stage IA non-smallcell lung cancer patients.J Thorac Oncol,2012,7(8):1246-1251.
10.	Ye B,Cheng M,Li W,et al.Predictive factors for lymph node metastasis in clinical stage IA lung adenocarcinoma.Ann Thorac Surg,2014,98(1):217-223.
11.	Atkins BZ,Harpole DH Jr,Mangum JH,et al.Pulmonary segmentectomy by thoracotomy or thoracoscopy:reduced hospital length of stay with a minimally-invasive approach.Ann Thorac Surg,2007,84(4):1107-1113.
12.	Schuchert MJ,Pettiford BL,Pennathur A,et al.Anatomic segmentectomy for stage I non-small-cell lung cancer:comparison of videoassisted thoracic surgery versus open approach.J Thorac Cardiovasc Surg,2009,138(6):1318-1225.
13.	Leshnower BG,Miller DL,Fernandez FG,et al.Video-assisted thoracoscopic surgery segmentectomy:a safe and effective procedure.Ann Thorac Surg,2010,89(5):1571-1576.
14.	Palep JH.Robotic assisted minimally invasive surgery.J Minim Access Surg,2009,5(1):1-7.
15.	Pardolesi A,Park B,Petrella F,et al.Robotic anatomic segmentectomy of the lung:technical aspects and initial results.Ann Thorac Surg,2012,94(3):929-934.
16.	Toker A,Ayalp K,Uyumaz E,et al.Robotic lung segmentectomy for malignant and benign lesions.J Thorac Dis,2014,6(7):937-942.
17.	Demir A,Ayalp K,Ozkan B,et al.Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions.Interact Cardiovasc Thorac Surg,2015,20(3):304-309.
18.	Veronesi G,Galetta D,Maisonneuve P,et al.Four-arm robotic lobectomy for the treatment of early-stage lung cancer.J Thorac Cardiovasc Surg,2010,140(1):19-25.
19.	Louie BE,Farivar AS,Aye RW,et al.Early experience with robotic lung resection results in similar operative outcomes and morbidity when compared with matched videoassisted thoracoscopic surgery cases.Ann Thorac Surg,2012,93(5):1598-1605.
20.	Park BJ,Melfi F,Mussi A,et al.Robotic lobectomy for nonsmall cell lung cancer(NSCLC):long-term oncologic results.J Thorac Cardiovasc Surg,2012,143(2):383-389.
21.	Louie BE,Farivar AS,Aye RW,et al.Early experience with robotic resection resulted in similar outcomes compared with mature VATS cases.Ann Thorac Surg,2012,93(5):1598-1604.

1. Jemal A,Center MM,DeSantis C,et al.Global patterns of cancer incidence and mortality rates and trends.Cancer Epidemiol Biomarkers Prev,2010,19(8):1893-1907.
2. Siegel RL,Miller KD,Jemal A.Cancer statistics,2015.CA Cancer J Clin,2015,65:5-29.
3. Leshnower BG,Miller DL,Fernandez FG,et al.Video-assisted thoracoscopic surgery segmentectomy:a safe and effective procedure.Ann Thorac Surg,2010,89(5):1571-1576.
4. Okada M,Tsutani Y,Ikeda T,et al.Radical hybrid video-assisted thoracic segmentectomy:long-term results of minimally invasive anatomical sublobar resection for treating lung cancer.Interact Cardiovasc Thorac Surg,2012,14(1):5-11.
5. Ren M,Meng Q,Zhou W,et al.Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer.Onco Targets Ther,2014,24(7):1343-1347.
6. Ginsberg RJ,Rubinstein LV.Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer.Lung Cancer Study Group.Ann Thorac Surg,1995,60(3):615-623.
7. Aberle DR,DeMello S,Berg CD,et al.Results of the two incidence screenings in the National Lung Screening Trial.N Engl J Med,2013,369(10):920-931.
8. Field JK,Oudkerk M,Pedersen JH,et al.Prospects for population screening and diagnosis of lung cancer.Lancet,2013,382(9893):732-741.
9. Koike T1,Koike T,Yamato Y,et al.Predictive risk factors for mediastinal lymph node metastasis in clinical stage IA non-smallcell lung cancer patients.J Thorac Oncol,2012,7(8):1246-1251.
10. Ye B,Cheng M,Li W,et al.Predictive factors for lymph node metastasis in clinical stage IA lung adenocarcinoma.Ann Thorac Surg,2014,98(1):217-223.
11. Atkins BZ,Harpole DH Jr,Mangum JH,et al.Pulmonary segmentectomy by thoracotomy or thoracoscopy:reduced hospital length of stay with a minimally-invasive approach.Ann Thorac Surg,2007,84(4):1107-1113.
12. Schuchert MJ,Pettiford BL,Pennathur A,et al.Anatomic segmentectomy for stage I non-small-cell lung cancer:comparison of videoassisted thoracic surgery versus open approach.J Thorac Cardiovasc Surg,2009,138(6):1318-1225.
13. Leshnower BG,Miller DL,Fernandez FG,et al.Video-assisted thoracoscopic surgery segmentectomy:a safe and effective procedure.Ann Thorac Surg,2010,89(5):1571-1576.
14. Palep JH.Robotic assisted minimally invasive surgery.J Minim Access Surg,2009,5(1):1-7.
15. Pardolesi A,Park B,Petrella F,et al.Robotic anatomic segmentectomy of the lung:technical aspects and initial results.Ann Thorac Surg,2012,94(3):929-934.
16. Toker A,Ayalp K,Uyumaz E,et al.Robotic lung segmentectomy for malignant and benign lesions.J Thorac Dis,2014,6(7):937-942.
17. Demir A,Ayalp K,Ozkan B,et al.Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions.Interact Cardiovasc Thorac Surg,2015,20(3):304-309.
18. Veronesi G,Galetta D,Maisonneuve P,et al.Four-arm robotic lobectomy for the treatment of early-stage lung cancer.J Thorac Cardiovasc Surg,2010,140(1):19-25.
19. Louie BE,Farivar AS,Aye RW,et al.Early experience with robotic lung resection results in similar operative outcomes and morbidity when compared with matched videoassisted thoracoscopic surgery cases.Ann Thorac Surg,2012,93(5):1598-1605.
20. Park BJ,Melfi F,Mussi A,et al.Robotic lobectomy for nonsmall cell lung cancer(NSCLC):long-term oncologic results.J Thorac Cardiovasc Surg,2012,143(2):383-389.
21. Louie BE,Farivar AS,Aye RW,et al.Early experience with robotic resection resulted in similar outcomes compared with mature VATS cases.Ann Thorac Surg,2012,93(5):1598-1604.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Da Vinci Robotic Lung Segmentectomy and Thoracoscopic Lung Segmentectomy: A Case Control Study

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