초록접수 현황
| 20F-148 | 구연 발표 |
Early outcomes of robotic versus video-assisted thoracoscopic anatomical resection for lung cancer
Samina Park, So Young Bae, Kwon Joong Na, Hyun Joo Lee, In Kyu Park, Young Tae Kim, Chang Hyun Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Purpose : Both robotic-assisted thoracic surgery and video-assisted thoracoscopic surgery (VATS) are established options for the treatment of lung cancer. We aim to compare the safety and effectiveness of robotic anatomical resection compared to those of VATS
Methods : A retrospective analysis was conducted based on 4283 patients, 138 who received robotic and 4145 who received VATS, who were attempted to undergo minimally invasive anatomical resection for lung cancer in a single institution from Jan 2011 to Jul 2020. Perioperative outcomes were compared after propensity score-matching including age, sex, height, weight, pulmonary function, smoking status, performance status, comorbidities, type of resection, combined bronchoplasty/angioplasty, tumor size, clinical T/N category, histology, and neoadjuvant treatment.
Results : Well-balanced 137 pairs were obtained (table). There was no 30-day mortality in the entire cohort. Conversion-to-thoracotomy was required more frequently in VATS group (6.6% vs. 0.7%: VATS vs. Robotic: p=0.008). Complete resection rate (97.8% vs. 98.5%: VATS vs. Robotic: p=1.000) and postoperative complication rate (17.5% vs. 19.0%: VATS vs. Robotic: p=0.874) were not different between the two groups. The length of hospital stay was slightly shorter in robotic group (5.8 ± 3.9 days vs. 5.0 ± 3.6 days: VATS vs. Robotic: p=0.052). Nodal upstaging (cN0/pN2) was higher in robotic than that of VATS without statistical significance (4% vs. 12%: VATS vs. Robotic: p=0.077).
Conclusion : Robotic anatomical resection resulted in comparable early outcomes compared with those of VATS for lung cancer. In particular, robotic resection allowed lower conversion-to-thoracotomy rate. A robotic approach might lead to a better lymph node harvest in N2 station.
Methods : A retrospective analysis was conducted based on 4283 patients, 138 who received robotic and 4145 who received VATS, who were attempted to undergo minimally invasive anatomical resection for lung cancer in a single institution from Jan 2011 to Jul 2020. Perioperative outcomes were compared after propensity score-matching including age, sex, height, weight, pulmonary function, smoking status, performance status, comorbidities, type of resection, combined bronchoplasty/angioplasty, tumor size, clinical T/N category, histology, and neoadjuvant treatment.
Results : Well-balanced 137 pairs were obtained (table). There was no 30-day mortality in the entire cohort. Conversion-to-thoracotomy was required more frequently in VATS group (6.6% vs. 0.7%: VATS vs. Robotic: p=0.008). Complete resection rate (97.8% vs. 98.5%: VATS vs. Robotic: p=1.000) and postoperative complication rate (17.5% vs. 19.0%: VATS vs. Robotic: p=0.874) were not different between the two groups. The length of hospital stay was slightly shorter in robotic group (5.8 ± 3.9 days vs. 5.0 ± 3.6 days: VATS vs. Robotic: p=0.052). Nodal upstaging (cN0/pN2) was higher in robotic than that of VATS without statistical significance (4% vs. 12%: VATS vs. Robotic: p=0.077).
Conclusion : Robotic anatomical resection resulted in comparable early outcomes compared with those of VATS for lung cancer. In particular, robotic resection allowed lower conversion-to-thoracotomy rate. A robotic approach might lead to a better lymph node harvest in N2 station.
첨부파일 : table.pdf
책임저자: Chang Hyun Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine
발표자: Samina Park, E-mail : saminapark1203@gmail.com