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Comparison of medium-term survival outcomes between robot-assisted thoracoscopic surgery and video-assisted thoracoscopic surgery in treating primary lung cancer
- Source :
- General Thoracic and Cardiovascular Surgery. 68:984-992
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Robot-assisted thoracoscopic surgery (RATS) for primary lung cancer has been spreading rapidly in Japan. While RATS has various technical advantages over video-assisted thoracoscopic surgery (VATS), the quality of surgery from an oncologic viewpoint must be maintained, and the evaluation of medium- to long-term survival outcomes is momentous. This study included 299 patients with primary lung cancer (VATS, n = 246; RATS, n = 53) who underwent lobectomy and mediastinal lymph node dissection at our hospital. We reviewed and compared perioperative factors, the number of dissected lymph nodes, and postoperative recurrence between the VATS and RATS groups. We also compared the postoperative survival rates among 98 patients (49 patients in each group) whose background factors were adjusted by propensity score matching (PSM). After PSM, a significant difference was found in the total operative time between the two groups (p
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Neoplasms
Time Factors
medicine.medical_treatment
Operative Time
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Japan
medicine
Humans
Postoperative Period
Pneumonectomy
Propensity Score
Lung cancer
Survival rate
Aged
Aged, 80 and over
Thoracic Surgery, Video-Assisted
business.industry
Robotics
General Medicine
Perioperative
Middle Aged
Prognosis
medicine.disease
Cardiac surgery
Surgery
Survival Rate
Cardiothoracic surgery
030220 oncology & carcinogenesis
Mediastinal lymph node
Propensity score matching
Video-assisted thoracoscopic surgery
Female
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 18636713 and 18636705
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- General Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....cb82357cde774b58147a589c483d69d5