Original Article
The therapeutic effect of non-small cell lung cancer with da Vinci surgical(robot-assisted thoracic surgery) system
Liu Xingchi, Xu Shiguang, Xu Wei, Liu Bo, Wang Tong, Li Bo, Wang Xilong, Teng Hong, Wang Shumin, Mo Qifeng, Meng Qingyu
Published 2017-04-30
Cite as Chin J Laparoscopic Surgery(Electronic Edition), 2017,10(2): 97-101. DOI: 10.3877/cma.j.issn.1674-6899.2017.02.009
Abstract
ObjectiveTo investigate the treatment outcome of lobectomy for non-small cell lung cancer with da Vinci Surgical System.
MethodsFrom Jan. 2012 to Jan. 2015, 202 patients with non-small cell lung cancer underwent lobectomy and systematic node dissection. 80 patients underwent robot-assisted thoracic surgery(RATS) (RATS group) and 122 patients underwent video-assisted thoracic surgery(VATS) (VATS group). To compare and analyze the condition of lmphy nodes dissection and outcomes of patients in the two groups.
ResultsThere were significant difference between RATS group and VATS group in dissected total number of lmphy node [(16.93 ± 8.00) vs (13.98 ± 8.67)] and team [(4.89 ± 1.57) vs (4.25 ± 1.23)], the 2 years disease free survival rate (71.2% vs 57.4%), the dissected number of lmphy node of stage Ⅰ [(16.59 ± 8.57) vs (11.86 ± 6.61)], the 2 years disease free survival rate (84.3% vs 57.8%) and overall survival rate (96.1% vs 84.4%). There were also significant difference between two groups in blood loss [(57 ± 49)ml vs (211 ± 180)ml ], drainage volume [POD 1(255 ± 116)ml vs (332 ± 175) ml, POD 2(259 ± 114)ml vs (321 ± 172)ml ]. Whereas there were no significant difference between the two groups in other outcomes.
ConclusionThe RATS dissected more number of lmphy node and took better median outcomes than VATS in NSCLC.
Key words:
Robot-assisted thoracic surgery; Video-assisted thoracic surgery; Lmphy nodes dissection; Non-small cell lung cancer; Overall survival; Disease free survival
Contributor Information
Liu Xingchi
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Xu Shiguang
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Xu Wei
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Liu Bo
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Wang Tong
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Li Bo
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Wang Xilong
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Teng Hong
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Wang Shumin
Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, China
Mo Qifeng
Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China
Meng Qingyu
Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China
