Comparison of clinical outcomes of da Vinci robot-assisted and video-assisted thoracoscopic surgery for mediastinal neurogenic tumors

doi:10.3877/cma.j.issn.1674-6899.2022.03.009

Abstract

Abstract:

Objective

To compare the clinical outcomes of da Vinci robot-assisted thoracoscopic surgery (RATS) and video-assisted thoracoscopic surgery (VATS) for mediastinal neurogenic tumors.

Methods

The clinical data of 95 patients with mediastinal neurogenic tumors treated by minimally invasive surgery in our hospital from Jul. 2015 to Dec. 2019 were retrospectively analyzed, and the surgical results of RATS and VATS were compared.

Results

31 patients received RATS and 64 received VATS, all of whom achieved R0 resection. There was no significant difference in base characteristics between the two groups(P>0.05). Operative blood loss, postoperative drainage duration, and the rates of postoperative complications showed no significant difference(P>0.05). Compared with VATS group, the operation time of the RATS group was longer (P<0.05), but the postoperative drainage duration and postoperative hospital stay were significantly shorter (P<0.05).

Conclusions

RATS is a safe and feasible surgical method for mediastinal neurogenic tumors. Compared with VATS, it has less damage to patients.

Key words: Mediastinal neoplasms, Neurogenic tumors, Minimally invasive surgery, Robot-assisted thoracoscopic surgery

Miao Jing, Wenhan Cai, Jiaxin Wen, Jie Gao, Chongchong Wu, Zhiqiang Xue. Comparison of clinical outcomes of da Vinci robot-assisted and video-assisted thoracoscopic surgery for mediastinal neurogenic tumors[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2022, 15(03): 163-167.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2022.03.009

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2022/V15/I03/163

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References 18

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变量	RATS组(31例)	VATS组(64例)	统计值	P值
年龄 (岁，±s)	41.2±14.1	43.3±14.6	t＝0.670	0.504
性别(例，男/女)	15/16	34/30	χ²＝0.188	0.665
肿瘤长径 [cm，M(P₂₅，P₇₅)]	4(3，5.2)	4.15(3.125，5.5)	Z＝0.402	0.688
肿瘤部位(例，右/左)	16/15	37/27	χ²＝0.325	0.568
手术时间[min，M(P₂₅，P₇₅)]	110(85，147)	80(60，113.75)	Z＝3.558	<0.000
术中出血量[ml，M(P₂₅，P₇₅)]	20(10，50)	20(10，50)	Z＝0.158	0.874
术后引流时间[d，M(P₂₅，P₇₅)]	3(2，3)	3(2，4)	Z＝2.179	0.029
术后引流量 [ml，M(P₂₅，P₇₅)]	270(220，600)	290(156.25，487.5)	Z＝1.203	0.229
术后住院时间[d，M(P₂₅，P₇₅)]	4(3，5)	5(4，6)	Z＝2.753	0.006
术后并发症[例(%)]	1(3.2)	2(3.1)	χ²<0.000	1.000

变量	RATS组(31例)	VATS组(64例)	统计值	P值
年龄 (岁，±s)	41.2±14.1	43.3±14.6	t＝0.670	0.504
性别(例，男/女)	15/16	34/30	χ²＝0.188	0.665
肿瘤长径 [cm，M(P₂₅，P₇₅)]	4(3，5.2)	4.15(3.125，5.5)	Z＝0.402	0.688
肿瘤部位(例，右/左)	16/15	37/27	χ²＝0.325	0.568
手术时间[min，M(P₂₅，P₇₅)]	110(85，147)	80(60，113.75)	Z＝3.558	<0.000
术中出血量[ml，M(P₂₅，P₇₅)]	20(10，50)	20(10，50)	Z＝0.158	0.874
术后引流时间[d，M(P₂₅，P₇₅)]	3(2，3)	3(2，4)	Z＝2.179	0.029
术后引流量 [ml，M(P₂₅，P₇₅)]	270(220，600)	290(156.25，487.5)	Z＝1.203	0.229
术后住院时间[d，M(P₂₅，P₇₅)]	4(3，5)	5(4，6)	Z＝2.753	0.006
术后并发症[例(%)]	1(3.2)	2(3.1)	χ²<0.000	1.000

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