Initial perioperative outcomes of robot-assisted thoracoscopic lobectomy using a confronting setting
Purpose Most robot-assisted thoracoscopic surgery (RATS) is performed from the vertical view. This study evaluates the initial outcomes of our novel confronting RATS technique, in which the patient was viewed horizontally, as in open thoracotomy. Methods We reviewed data on patients who underwent th...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2023-09, Vol.53 (9), p.1073-1080 |
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| creator | Ichinose, Junji Hashimoto, Kohei Matsuura, Yosuke Nakao, Masayuki Okumura, Sakae Mun, Mingyon |
| description | Purpose
Most robot-assisted thoracoscopic surgery (RATS) is performed from the vertical view. This study evaluates the initial outcomes of our novel confronting RATS technique, in which the patient was viewed horizontally, as in open thoracotomy.
Methods
We reviewed data on patients who underwent thoracoscopic lobectomy between January, 2019 and April, 2022. Perioperative outcomes were compared between RATS and video-assisted thoracoscopic surgery (VATS), using propensity-score matching.
Results
RATS and VATS were performed for 83 and 571 patients, respectively. After propensity-score matching, data on 81 patients from each of the two groups were retrieved. The operative time was significantly longer for RATS than for VATS (199 ± 44 min vs. 173 ± 37 min,
p
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| doi_str_mv | 10.1007/s00595-023-02665-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2780070064</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2780070064</sourcerecordid><originalsourceid>FETCH-LOGICAL-c437t-6134f12ed89b4b13ec0408bcb791834448309a8b067211ba356876e07490764c3</originalsourceid><addsrcrecordid>eNp9kE9vFDEMxSMEotvCF-CAcuQyYCfZJHNEFX8qVeoFzlGSzZRUM5MlziD125NlC0cOtmX5-Unvx9gbhPcIYD4QwH7cDyBkL633Az5jO1RSD8KifM52MCocUIx4wS6JHgCEsgAv2YXUVtgRcccON2tu2c_8mGouvfmWfyVethbLkoiXidcSShs8UaaWDrz9KNXHQrEcc-RzCSm2sjzyjfJ6zz2PZZ1qWdtpo9RO8xV7MfmZ0uunecW-f_707frrcHv35eb64-0QlTRt0CjVhCId7BhUQJkiKLAhBjOilUopK2H0NoA2AjF4udfW6ARGjWC0ivKKvTv7Hmv5uSVqbskU0zz7NZWNnDA9vgHQqkvFWRprIappcseaF18fHYI70XVnuq7TdX_oOuxPb5_8t7Ckw7-Xvzi7QJ4F1E_rfaruoWx17Zn_Z_sb6AWF7Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2780070064</pqid></control><display><type>article</type><title>Initial perioperative outcomes of robot-assisted thoracoscopic lobectomy using a confronting setting</title><source>SpringerLink Journals</source><creator>Ichinose, Junji ; Hashimoto, Kohei ; Matsuura, Yosuke ; Nakao, Masayuki ; Okumura, Sakae ; Mun, Mingyon</creator><creatorcontrib>Ichinose, Junji ; Hashimoto, Kohei ; Matsuura, Yosuke ; Nakao, Masayuki ; Okumura, Sakae ; Mun, Mingyon</creatorcontrib><description>Purpose
Most robot-assisted thoracoscopic surgery (RATS) is performed from the vertical view. This study evaluates the initial outcomes of our novel confronting RATS technique, in which the patient was viewed horizontally, as in open thoracotomy.
Methods
We reviewed data on patients who underwent thoracoscopic lobectomy between January, 2019 and April, 2022. Perioperative outcomes were compared between RATS and video-assisted thoracoscopic surgery (VATS), using propensity-score matching.
Results
RATS and VATS were performed for 83 and 571 patients, respectively. After propensity-score matching, data on 81 patients from each of the two groups were retrieved. The operative time was significantly longer for RATS than for VATS (199 ± 44 min vs. 173 ± 37 min,
p
< 0.001). There was no mortality or conversion to thoracotomy in either of the groups. The rates of overall complications and prolonged air leak did not differ significantly between the groups. The serum creatine phosphokinase level on postoperative day 4 was higher after RATS than after VATS. The number of resected lymph nodes and the rates of nodal upstaging did not differ significantly between the groups.
Conclusion
The initial perioperative outcomes of RATS using the confronting settings were comparable to those of VATS.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-023-02665-1</identifier><identifier>PMID: 36828911</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Medicine ; Medicine & Public Health ; Original Article ; Surgery ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2023-09, Vol.53 (9), p.1073-1080</ispartof><rights>The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-6134f12ed89b4b13ec0408bcb791834448309a8b067211ba356876e07490764c3</citedby><cites>FETCH-LOGICAL-c437t-6134f12ed89b4b13ec0408bcb791834448309a8b067211ba356876e07490764c3</cites><orcidid>0000-0002-3630-5223</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-023-02665-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-023-02665-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36828911$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ichinose, Junji</creatorcontrib><creatorcontrib>Hashimoto, Kohei</creatorcontrib><creatorcontrib>Matsuura, Yosuke</creatorcontrib><creatorcontrib>Nakao, Masayuki</creatorcontrib><creatorcontrib>Okumura, Sakae</creatorcontrib><creatorcontrib>Mun, Mingyon</creatorcontrib><title>Initial perioperative outcomes of robot-assisted thoracoscopic lobectomy using a confronting setting</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
Most robot-assisted thoracoscopic surgery (RATS) is performed from the vertical view. This study evaluates the initial outcomes of our novel confronting RATS technique, in which the patient was viewed horizontally, as in open thoracotomy.
Methods
We reviewed data on patients who underwent thoracoscopic lobectomy between January, 2019 and April, 2022. Perioperative outcomes were compared between RATS and video-assisted thoracoscopic surgery (VATS), using propensity-score matching.
Results
RATS and VATS were performed for 83 and 571 patients, respectively. After propensity-score matching, data on 81 patients from each of the two groups were retrieved. The operative time was significantly longer for RATS than for VATS (199 ± 44 min vs. 173 ± 37 min,
p
< 0.001). There was no mortality or conversion to thoracotomy in either of the groups. The rates of overall complications and prolonged air leak did not differ significantly between the groups. The serum creatine phosphokinase level on postoperative day 4 was higher after RATS than after VATS. The number of resected lymph nodes and the rates of nodal upstaging did not differ significantly between the groups.
Conclusion
The initial perioperative outcomes of RATS using the confronting settings were comparable to those of VATS.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE9vFDEMxSMEotvCF-CAcuQyYCfZJHNEFX8qVeoFzlGSzZRUM5MlziD125NlC0cOtmX5-Unvx9gbhPcIYD4QwH7cDyBkL633Az5jO1RSD8KifM52MCocUIx4wS6JHgCEsgAv2YXUVtgRcccON2tu2c_8mGouvfmWfyVethbLkoiXidcSShs8UaaWDrz9KNXHQrEcc-RzCSm2sjzyjfJ6zz2PZZ1qWdtpo9RO8xV7MfmZ0uunecW-f_707frrcHv35eb64-0QlTRt0CjVhCId7BhUQJkiKLAhBjOilUopK2H0NoA2AjF4udfW6ARGjWC0ivKKvTv7Hmv5uSVqbskU0zz7NZWNnDA9vgHQqkvFWRprIappcseaF18fHYI70XVnuq7TdX_oOuxPb5_8t7Ckw7-Xvzi7QJ4F1E_rfaruoWx17Zn_Z_sb6AWF7Q</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Ichinose, Junji</creator><creator>Hashimoto, Kohei</creator><creator>Matsuura, Yosuke</creator><creator>Nakao, Masayuki</creator><creator>Okumura, Sakae</creator><creator>Mun, Mingyon</creator><general>Springer Nature Singapore</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3630-5223</orcidid></search><sort><creationdate>20230901</creationdate><title>Initial perioperative outcomes of robot-assisted thoracoscopic lobectomy using a confronting setting</title><author>Ichinose, Junji ; Hashimoto, Kohei ; Matsuura, Yosuke ; Nakao, Masayuki ; Okumura, Sakae ; Mun, Mingyon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-6134f12ed89b4b13ec0408bcb791834448309a8b067211ba356876e07490764c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ichinose, Junji</creatorcontrib><creatorcontrib>Hashimoto, Kohei</creatorcontrib><creatorcontrib>Matsuura, Yosuke</creatorcontrib><creatorcontrib>Nakao, Masayuki</creatorcontrib><creatorcontrib>Okumura, Sakae</creatorcontrib><creatorcontrib>Mun, Mingyon</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ichinose, Junji</au><au>Hashimoto, Kohei</au><au>Matsuura, Yosuke</au><au>Nakao, Masayuki</au><au>Okumura, Sakae</au><au>Mun, Mingyon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Initial perioperative outcomes of robot-assisted thoracoscopic lobectomy using a confronting setting</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>53</volume><issue>9</issue><spage>1073</spage><epage>1080</epage><pages>1073-1080</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
Most robot-assisted thoracoscopic surgery (RATS) is performed from the vertical view. This study evaluates the initial outcomes of our novel confronting RATS technique, in which the patient was viewed horizontally, as in open thoracotomy.
Methods
We reviewed data on patients who underwent thoracoscopic lobectomy between January, 2019 and April, 2022. Perioperative outcomes were compared between RATS and video-assisted thoracoscopic surgery (VATS), using propensity-score matching.
Results
RATS and VATS were performed for 83 and 571 patients, respectively. After propensity-score matching, data on 81 patients from each of the two groups were retrieved. The operative time was significantly longer for RATS than for VATS (199 ± 44 min vs. 173 ± 37 min,
p
< 0.001). There was no mortality or conversion to thoracotomy in either of the groups. The rates of overall complications and prolonged air leak did not differ significantly between the groups. The serum creatine phosphokinase level on postoperative day 4 was higher after RATS than after VATS. The number of resected lymph nodes and the rates of nodal upstaging did not differ significantly between the groups.
Conclusion
The initial perioperative outcomes of RATS using the confronting settings were comparable to those of VATS.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>36828911</pmid><doi>10.1007/s00595-023-02665-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3630-5223</orcidid></addata></record> |
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| subjects | Medicine Medicine & Public Health Original Article Surgery Surgical Oncology |
| title | Initial perioperative outcomes of robot-assisted thoracoscopic lobectomy using a confronting setting |
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