Abstract:
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.
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