Perioperative outcomes of radical lobectomies using robotic-assisted thoracoscopic technique vs. video-assisted thoracoscopic technique: retrospective study of 1,075 consecutive p-stage I non-small cell lung cancer cases

• DOI: 10.21037/jtd.2019.01.78
• Publication Date: 2019-03-28T09:40:43Z
• Authors: Jian-Tao Li; Pei-Yao Liu; Jia Huang; Pei-Ji Lu; Hao Lin; Qian-Jun Zhou; Qing-Quan Luo
• Keywords: Chest tube; VATS lobectomy

Robotic thoracoscopic surgery was first done in mainland China 2009 and has gained popularity the past few years. Here, we present largest Chinese series of robotic lobectomy for early-stage non-small cell lung cancer (NSCLC) to date. We aimed compare perioperative outcomes our three-arm robotic-assisted (RAL3) video-assisted (VAL) p-stage I NSCLC report approach anatomic lobar resections center.We retrospectively collected analyzed data 1075 stage patients who underwent minimally invasive lobectomies (237 RAL3 cases 838 VAL cases) by same surgical team from May 2013 April 2016. Propensity score matching (PSM) used minimize bias between two groups. Perioperative were analyzed.Compared VALs, RAL3s had more retrieved lymph nodes (LNs) (9.70 vs. 8.45, P=0.000), less POD1 drain (230.91 279.79 mL, P=0.001), shorter chest tube duration (3.84 4.33 d, P=0.003) postoperative length stay (4.97 5.45 P=0.004), but a higher cost (¥93,244.84 ¥67,055.82, P=0.000). No significant difference observed groups concerning average skin-to-skin time (90.84 92.25 min, P=0.624), conversion rate (1.3% 0.87%, P=1.000) prolonged hospital (PPHS) (3.0% 4.3%, P=0.694).This study confirms that is safer effective technique than treatment NSCLC.