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Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors

BACKGROUND: Robot-assisted thoracic surgery (RATS) has an increasing usage throughout the world. This retrospective cohort study aimed to objectively compare the surgical results between video-assisted thoracic surgery (VATS) and RATS in posterior mediastinal neurogenic tumors (PMNT). METHODS: We re...

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Autores principales: Li, Xiao-Kun, Cong, Zhuang-Zhuang, Xu, Yang, Zhou, Hai, Wu, Wen-Jie, Wang, Gao-Ming, Qiang, Yong, Shen, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330773/
https://www.ncbi.nlm.nih.gov/pubmed/32642229
http://dx.doi.org/10.21037/jtd-20-286
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author Li, Xiao-Kun
Cong, Zhuang-Zhuang
Xu, Yang
Zhou, Hai
Wu, Wen-Jie
Wang, Gao-Ming
Qiang, Yong
Shen, Yi
author_facet Li, Xiao-Kun
Cong, Zhuang-Zhuang
Xu, Yang
Zhou, Hai
Wu, Wen-Jie
Wang, Gao-Ming
Qiang, Yong
Shen, Yi
author_sort Li, Xiao-Kun
collection PubMed
description BACKGROUND: Robot-assisted thoracic surgery (RATS) has an increasing usage throughout the world. This retrospective cohort study aimed to objectively compare the surgical results between video-assisted thoracic surgery (VATS) and RATS in posterior mediastinal neurogenic tumors (PMNT). METHODS: We retrospectively reviewed the clinical data of 130 patients diagnosed with posterior mediastinal neurogenic tumor between 2015 and 2018. Magnetic resonance imaging (MRI) or enhanced computed tomography scan (CT-scan) was used to locate the tumor and investigate the Adamkiewicz’s artery preoperatively. The individual surgical approach was determined by both tumor size and patient’s willings. RESULTS: The surgical time in RATS (43.2±12.6 min) was tended to be less than that in VATS (47.4±11.9 min) (P=0.054). Meanwhile, the estimated blood loss in RATS group (85.8±22.6 mL) was significantly less than that in VATS group (95.3±28.4 mL) (P=0.040). However, the duration of chest tube (days) and volume of drainage (mL) had no significant difference between two groups (P=0.12 and P=0.68, respectively). The postoperative hospital stay (days) of patients in RATS group (2.2±0.4 days) was significantly shorter than that in VATS group (2.4±0.6 days) (P=0.031). There were no significant differences between two groups in the incidence of the postoperative complications and adverse reactions. CONCLUSIONS: RATS has the superiorities in terms of surgical blood loss and postoperative hospital stay over VATS for posterior mediastinal neurogenic tumor. In conclusion, RATS could be a feasible and safe way for resecting posterior mediastinal neurogenic tumor.
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spelling pubmed-73307732020-07-07 Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors Li, Xiao-Kun Cong, Zhuang-Zhuang Xu, Yang Zhou, Hai Wu, Wen-Jie Wang, Gao-Ming Qiang, Yong Shen, Yi J Thorac Dis Original Article BACKGROUND: Robot-assisted thoracic surgery (RATS) has an increasing usage throughout the world. This retrospective cohort study aimed to objectively compare the surgical results between video-assisted thoracic surgery (VATS) and RATS in posterior mediastinal neurogenic tumors (PMNT). METHODS: We retrospectively reviewed the clinical data of 130 patients diagnosed with posterior mediastinal neurogenic tumor between 2015 and 2018. Magnetic resonance imaging (MRI) or enhanced computed tomography scan (CT-scan) was used to locate the tumor and investigate the Adamkiewicz’s artery preoperatively. The individual surgical approach was determined by both tumor size and patient’s willings. RESULTS: The surgical time in RATS (43.2±12.6 min) was tended to be less than that in VATS (47.4±11.9 min) (P=0.054). Meanwhile, the estimated blood loss in RATS group (85.8±22.6 mL) was significantly less than that in VATS group (95.3±28.4 mL) (P=0.040). However, the duration of chest tube (days) and volume of drainage (mL) had no significant difference between two groups (P=0.12 and P=0.68, respectively). The postoperative hospital stay (days) of patients in RATS group (2.2±0.4 days) was significantly shorter than that in VATS group (2.4±0.6 days) (P=0.031). There were no significant differences between two groups in the incidence of the postoperative complications and adverse reactions. CONCLUSIONS: RATS has the superiorities in terms of surgical blood loss and postoperative hospital stay over VATS for posterior mediastinal neurogenic tumor. In conclusion, RATS could be a feasible and safe way for resecting posterior mediastinal neurogenic tumor. AME Publishing Company 2020-06 /pmc/articles/PMC7330773/ /pubmed/32642229 http://dx.doi.org/10.21037/jtd-20-286 Text en 2020 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Li, Xiao-Kun
Cong, Zhuang-Zhuang
Xu, Yang
Zhou, Hai
Wu, Wen-Jie
Wang, Gao-Ming
Qiang, Yong
Shen, Yi
Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
title Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
title_full Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
title_fullStr Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
title_full_unstemmed Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
title_short Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
title_sort clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumors
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330773/
https://www.ncbi.nlm.nih.gov/pubmed/32642229
http://dx.doi.org/10.21037/jtd-20-286
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