Postoperative Pain Status of Patients with Video-assisted Toracoscopic Surgery (VATS) versus Robotic VAST (RATS): A Comparative Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHUYong-qiao , HUANGJia , LINHao , HUYing-jie ,  LUOQing-quan

Department of Toracic Surgery, Shanghai Chest Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200030, P. R. China;

Corresponding author：

LUOQing-quan, Email: luoqingquan@hotmail.com

Keywords：

Thoracic surgery; Da Vinci robotic surgery system; Pain

DOI：

10.7507/1007-4848.20150274

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To estimate postoperative pain and use of analgesic of patients who underwent video-assisted thoracoscopic surgery(VATS) or robotic assisted thoracoscopic surgery(RATS). Methods From October 2014 through August 2015, 339 patients were treated by surgery in Shanghai Chest Hospital. Among them, 116 patients with intrathoracic lesions who underwent RATS with the da Vinci? Surgical System were as a RATS group with 51 males and 65 females at age of 52.59±11.49 years. Another 223 patients by VATS were as a VATS group with 93 males and 130 females at age of 58.00±10.56 years. We recorded the data of the VAS score and use analgesic of the patients after surgery. Results There was a significant difference in VAS score between the RATS group and the VATS group(3.01±0.18 vs. 5.19±0.14, P<0.05). Astatistical difference of analgesic use between RATS and VATS was also found(1.09±0.12 vs. 1.77±0.10, P<0.05). Conclusion Compared with VATS, the postoperative pain of the patients who underwent RATS is lighter. And the use of analgesic is less.

Citation： ZHUYong-qiao, HUANGJia, LINHao, HUYing-jie, LUOQing-quan. Postoperative Pain Status of Patients with Video-assisted Toracoscopic Surgery (VATS) versus Robotic VAST (RATS): A Comparative Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(12): 1095-1099. doi: 10.7507/1007-4848.20150274 Copy

1.	Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage non-small cell lung cancer:a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6):2008-2018.
2.	Lewis RJ, Caccavale RJ, Sisler GE. Special report:video-endoscopic thoracic surgery. N J Med, 1991, 88(7):473-475.
3.	Lewis RJ, Caccavale RJ, Sisler GE, et al. Thoracoscopic pulmonary resection. Ann Thorac Surg, 1995, 60(4):1157-1159.
4.	Lewis RJ, Caccavale RJ, Sisler GE, et al. Video-assisted thoracic surgical resection of malignant lung tumors. J Thorac Cardiovasc Surg, 1992, 104(6):1679-1687.
5.	Kim AW, Detterbeck FC. Advances in surgical techniques in non-small cell lung cancer. Semin Respir Crit Care Med, 2013, 34(6):855-866.
6.	黄佳, 罗清泉, 方文涛, 等. 机器人辅助胸腔镜技术应用于胸外科初步经验. 中华腔镜外科杂志(电子版), 2012,4:281-287.
7.	黄佳, 赵晓菁, 林皓,等. 单向四孔法全胸腔镜肺叶切除术治疗非小细胞肺癌的临床研究. 中国胸心血管外科临床杂志, 2012, 19(2):125-129.
8.	黄佳, 罗清泉, 方文涛, 等. 机器人外科手术系统辅助治疗纵隔肿瘤的初步经验. 上海医学, 2011, 34(1):47-50, 封2.
9.	Huang J, Luo Q, Tan Q, et al. Initial experience of robot-assisted thoracoscopic surgery in China. Int J Med Robot, 2014, 10(4):404-409.
10.	宗行万之助. 疼痛的估价——用特殊的视觉模拟评分法作参考(VAS). 疼痛学杂志, 1994, 4:153.
11.	丁仁泉, 童向东, 许世广, 等. 达芬奇机器人手术系统与电视胸腔镜在胸内纵隔疾病手术治疗中的对比研究. 中国肺癌杂志, 2014, 7:557-562.
12.	徐恩五. 肺癌的微创外科治疗. 中国微创外科杂志, 2012, 12(8):748-751.
13.	陈刚, 吴一龙, 王沐廷. 肺癌微创外科治疗的现状及进展. 中国微创外科杂志, 2008, 8(11):976-978.
14.	周允中. 微创和扩大:肺癌外科治疗的取向. 2006全国肺外科学术大会,山东泰山, 2006. 31-33.
15.	余佩武,唐波. 达芬奇机器人胃癌手术相关技术与应用前景. 中国微创外科杂志, 2012, 12(7):584-585.
16.	孙清华, 于静, 杨菁. 机器人手术系统的发展历史与未来. 科技资讯, 2013, 19:6.
17.	Byrn JC, Schluender S, Divino CM, et al. Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System. Am J Surg, 2007, 193, 4:519-522.
18.	Nasir BS, Bryant AS, Minnich DJ, et al. Performing robotic lobectomy and segmentectomy:cost, profitability, and outcomes. Ann Thorac Surg, 2014, 98(1):203-209.
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 video-assisted thoracoscopic surgery cases. Ann Thorac Surg, 2012, 93(5):1598-1605.
20.	Ohhaus EE, Adler R. Methodological problems in the measurement of pain:a comparison between the verbal rating scale and the visual analogue scale. Pain, 1975, 1(4):379-384.
21.	张大坤, 许世广, 丁仁泉, 等. 达芬奇机器人手术与胸腔镜辅助小切口手术对肺手术患者创伤对比分析. 创伤与急危重病医学, 2014, 2(5):296-300.
22.	Lanfranco AR, Castellanos AE, Desai JP, et al. Robotic surgery:a current perspective. Ann Surg, 2004, 239(1):14-21.
23.	徐兆红, 宋成利, 闫士举. 机器人在微创外科手术中的应用. 中国组织工程研究与临床康复, 2011, 15(35):6598-6601.

1. Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage non-small cell lung cancer:a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6):2008-2018.
2. Lewis RJ, Caccavale RJ, Sisler GE. Special report:video-endoscopic thoracic surgery. N J Med, 1991, 88(7):473-475.
3. Lewis RJ, Caccavale RJ, Sisler GE, et al. Thoracoscopic pulmonary resection. Ann Thorac Surg, 1995, 60(4):1157-1159.
4. Lewis RJ, Caccavale RJ, Sisler GE, et al. Video-assisted thoracic surgical resection of malignant lung tumors. J Thorac Cardiovasc Surg, 1992, 104(6):1679-1687.
5. Kim AW, Detterbeck FC. Advances in surgical techniques in non-small cell lung cancer. Semin Respir Crit Care Med, 2013, 34(6):855-866.
6. 黄佳, 罗清泉, 方文涛, 等. 机器人辅助胸腔镜技术应用于胸外科初步经验. 中华腔镜外科杂志(电子版), 2012,4:281-287.
7. 黄佳, 赵晓菁, 林皓,等. 单向四孔法全胸腔镜肺叶切除术治疗非小细胞肺癌的临床研究. 中国胸心血管外科临床杂志, 2012, 19(2):125-129.
8. 黄佳, 罗清泉, 方文涛, 等. 机器人外科手术系统辅助治疗纵隔肿瘤的初步经验. 上海医学, 2011, 34(1):47-50, 封2.
9. Huang J, Luo Q, Tan Q, et al. Initial experience of robot-assisted thoracoscopic surgery in China. Int J Med Robot, 2014, 10(4):404-409.
10. 宗行万之助. 疼痛的估价——用特殊的视觉模拟评分法作参考(VAS). 疼痛学杂志, 1994, 4:153.
11. 丁仁泉, 童向东, 许世广, 等. 达芬奇机器人手术系统与电视胸腔镜在胸内纵隔疾病手术治疗中的对比研究. 中国肺癌杂志, 2014, 7:557-562.
12. 徐恩五. 肺癌的微创外科治疗. 中国微创外科杂志, 2012, 12(8):748-751.
13. 陈刚, 吴一龙, 王沐廷. 肺癌微创外科治疗的现状及进展. 中国微创外科杂志, 2008, 8(11):976-978.
14. 周允中. 微创和扩大:肺癌外科治疗的取向. 2006全国肺外科学术大会,山东泰山, 2006. 31-33.
15. 余佩武,唐波. 达芬奇机器人胃癌手术相关技术与应用前景. 中国微创外科杂志, 2012, 12(7):584-585.
16. 孙清华, 于静, 杨菁. 机器人手术系统的发展历史与未来. 科技资讯, 2013, 19:6.
17. Byrn JC, Schluender S, Divino CM, et al. Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System. Am J Surg, 2007, 193, 4:519-522.
18. Nasir BS, Bryant AS, Minnich DJ, et al. Performing robotic lobectomy and segmentectomy:cost, profitability, and outcomes. Ann Thorac Surg, 2014, 98(1):203-209.
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 video-assisted thoracoscopic surgery cases. Ann Thorac Surg, 2012, 93(5):1598-1605.
20. Ohhaus EE, Adler R. Methodological problems in the measurement of pain:a comparison between the verbal rating scale and the visual analogue scale. Pain, 1975, 1(4):379-384.
21. 张大坤, 许世广, 丁仁泉, 等. 达芬奇机器人手术与胸腔镜辅助小切口手术对肺手术患者创伤对比分析. 创伤与急危重病医学, 2014, 2(5):296-300.
22. Lanfranco AR, Castellanos AE, Desai JP, et al. Robotic surgery:a current perspective. Ann Surg, 2004, 239(1):14-21.
23. 徐兆红, 宋成利, 闫士举. 机器人在微创外科手术中的应用. 中国组织工程研究与临床康复, 2011, 15(35):6598-6601.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Postoperative Pain Status of Patients with Video-assisted Toracoscopic Surgery (VATS) versus Robotic VAST (RATS): A Comparative Study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content