Early Experience of Uniportal Robotic-Assisted Anatomic Resection in Lung Cancer Patients: Is it Safe and Feasible for Direct Transition From Uniportal Video Thoracoscopic–Assisted Surgery to Uniportal Robotic-Assisted Surgery?

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2024-12-25 DOI:10.1111/ases.70006
Yung-Chia Kuo, Ching-Yang Wu, Ming- Ju Hsieh, Diego Gonzalez-Rivas, Tzu -Yi Yang, Ching-Feng Wu
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Abstract

Background

Lung cancer remains a leading cause of mortality worldwide, with surgery being a primary treatment option for early-stage cases. Minimally invasive surgery has gained attention due to its potential benefits. Uniportal robotic-assisted thoracic surgery (RATS) is emerging as a viable option for treating lung cancer patients.

Methods

In this retrospective study, conducted from August 2023 to December 2023, we assessed the feasibility of Uniportal robotic-assisted thoracic surgery (URATS) in 15 patients with 16 lung cancers. The perioperative and 30-day short-term outcome results were collected.

Results

Perioperative outcomes, including length of hospital stay and postoperative complications, were evaluated. No perioperative or 30-day mortality was observed, and there were no cases requiring conversion to multiport RATS or thoracotomy.

Conclusion

Our findings suggest that URATS can be successfully performed in lung cancer patients, provided the surgical team possesses excellent communication skills and extensive training in Uniport video-assisted thoracoscopic surgery and comprehensive RATS techniques.

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肺癌患者单门静脉机器人辅助解剖切除的早期经验:从单门静脉视频胸腔镜辅助手术直接过渡到单门静脉机器人辅助手术是否安全可行?
背景:肺癌仍然是世界范围内死亡的主要原因,手术是早期病例的主要治疗选择。微创手术因其潜在的益处而备受关注。单门户机器人辅助胸外科手术(RATS)正在成为治疗肺癌患者的可行选择。方法:在这项于2023年8月至2023年12月进行的回顾性研究中,我们评估了Uniportal机器人辅助胸外科手术(URATS)在15例16例肺癌患者中的可行性。收集围手术期和30天短期结果。结果:围手术期预后,包括住院时间和术后并发症。未观察到围手术期或30天死亡率,也没有病例需要转多口RATS或开胸。结论:我们的研究结果表明,只要手术团队具备良好的沟通技巧和广泛的Uniport视频胸腔镜手术培训以及全面的RATS技术,URATS可以成功地在肺癌患者中进行。
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10.00%
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129
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