Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy

Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy

Robotic anatomic segmentectomy (RATS) for early-stage lung cancer is being increasingly performed in spite of limited published evidence. To evaluate its safety and oncologic efficacy, we compared the outcomes of both RATS and video-assisted thoracoscopic (VATS) segmentectomy in patients with small-...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Translational lung cancer research 2020-04, Vol.9 (2), p.306-315
Hauptverfasser: Zhou, Qianjun, Huang, Jia, Pan, Feng, Li, Jiantao, Liu, Yuan, Hou, Yucheng, Song, Weijian, Luo, Qingquan
Format: Artikel
Sprache:eng
Schlagworte:
Original
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 315
container_issue 2
container_start_page 306
container_title Translational lung cancer research
container_volume 9
creator Zhou, Qianjun
Huang, Jia
Pan, Feng
Li, Jiantao
Liu, Yuan
Hou, Yucheng
Song, Weijian
Luo, Qingquan
description Robotic anatomic segmentectomy (RATS) for early-stage lung cancer is being increasingly performed in spite of limited published evidence. To evaluate its safety and oncologic efficacy, we compared the outcomes of both RATS and video-assisted thoracoscopic (VATS) segmentectomy in patients with small-sized (0.05). RATS can be performed safely and effectively in patients with early-stage NSCLC. The reduced narcotic use and earlier return to routine daily activities of RATS patients might reflect its less traumatic nature as compared to VATS. For stage IA disease with small tumors (
doi_str_mv 10.21037/tlcr-20-533
format Article
fullrecord <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7225141</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>32420070</sourcerecordid><originalsourceid>FETCH-LOGICAL-c314t-af870256aba6ec91b581f554fd782744742fc9efac3dde1fd11c73c23976f15d3</originalsourceid><addsrcrecordid>eNpVkctu1TAQhi0EolXpjjXyA2Dqa3yyQaoqLpUqdQNry2c8zjFK4sj2CerD8K6kFFq68kj-55vRfIS8FfyDFFzZizZCYZIzo9QLciql7JjW1r68r8WOddaIE3Je6w_OudC9NqZ_TU6U1JJzy0_Jr9sFi29pRZqPDfKElfo50DHPA2tYJlqPZU2rH2mOtOR9bgmYrzXVhoFWHCacG0LL0x2NudDa_ID0-pKOx3mg4GfAQjfu4suW_5naga4pYH5itEMuHnKFvCR4TnxDXkU_Vjz_-56R758_fbv6ym5uv1xfXd4wUEI35uPOcmk6v_cdQi_2ZieiMToGu5N2u4eWEXqMHlQIKGIQAqwCqXrbRWGCOiMfH7jLcT9hgG2B4ke3lDT5cueyT-75z5wObsirs1IaocUGeP8AgJJrLRgfewV3f0y5e1NOcreZ2uLv_p_3GP7nRf0GSiiWHQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Zhou, Qianjun ; Huang, Jia ; Pan, Feng ; Li, Jiantao ; Liu, Yuan ; Hou, Yucheng ; Song, Weijian ; Luo, Qingquan</creator><creatorcontrib>Zhou, Qianjun ; Huang, Jia ; Pan, Feng ; Li, Jiantao ; Liu, Yuan ; Hou, Yucheng ; Song, Weijian ; Luo, Qingquan</creatorcontrib><description>Robotic anatomic segmentectomy (RATS) for early-stage lung cancer is being increasingly performed in spite of limited published evidence. To evaluate its safety and oncologic efficacy, we compared the outcomes of both RATS and video-assisted thoracoscopic (VATS) segmentectomy in patients with small-sized (&lt;2 cm) peripheral stage IA lung cancer. From November 2011 to January 2018, a total of 130 patients with resected stage IA non-small cell lung cancer (NSCLC) who underwent RATS (n=50) and VATS (n=80) pulmonary segmentectomy were included. Clinicopathologic data, recurrence rate, and survival were recorded. The demographics, pulmonary function, comorbidity, and tumor size were similar between RATS segmentectomy and VATS segmentectomy. The surgery time, intensive care unit stay, hospital stay, and blood loss were reduced in the RATS group compared to the VATS group. The number of totally dissected lymph nodes and postoperative complications were similar between the 2 groups. There was no operative mortality. The intensity of narcotic use during hospital stay and the time to return to routine daily activities were also reduced in the RATS group. There was no recurrence observed in the RATS group during the median 38-month follow-up period; meanwhile, during a median 85-month follow-up period in the VATS group, local recurrence and distant recurrence was observed in 2 patients (2.5%) and 3 patients (3.75%) respectively. There was no significant difference in the 5-year recurrence-free survival between the RATS and VATS groups (100% 93.75%; P&gt;0.05). RATS can be performed safely and effectively in patients with early-stage NSCLC. The reduced narcotic use and earlier return to routine daily activities of RATS patients might reflect its less traumatic nature as compared to VATS. For stage IA disease with small tumors (&lt;2 cm), segmentectomy performed by RATS has better oncologic efficacy when compared to VATS, although in this study, this difference did not reach statistical difference.</description><identifier>ISSN: 2218-6751</identifier><identifier>EISSN: 2226-4477</identifier><identifier>DOI: 10.21037/tlcr-20-533</identifier><identifier>PMID: 32420070</identifier><language>eng</language><publisher>China: AME Publishing Company</publisher><subject>Original</subject><ispartof>Translational lung cancer research, 2020-04, Vol.9 (2), p.306-315</ispartof><rights>2020 Translational Lung Cancer Research. All rights reserved.</rights><rights>2020 Translational Lung Cancer Research. All rights reserved. 2020 Translational Lung Cancer Research.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c314t-af870256aba6ec91b581f554fd782744742fc9efac3dde1fd11c73c23976f15d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225141/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225141/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32420070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Qianjun</creatorcontrib><creatorcontrib>Huang, Jia</creatorcontrib><creatorcontrib>Pan, Feng</creatorcontrib><creatorcontrib>Li, Jiantao</creatorcontrib><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Hou, Yucheng</creatorcontrib><creatorcontrib>Song, Weijian</creatorcontrib><creatorcontrib>Luo, Qingquan</creatorcontrib><title>Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy</title><title>Translational lung cancer research</title><addtitle>Transl Lung Cancer Res</addtitle><description>Robotic anatomic segmentectomy (RATS) for early-stage lung cancer is being increasingly performed in spite of limited published evidence. To evaluate its safety and oncologic efficacy, we compared the outcomes of both RATS and video-assisted thoracoscopic (VATS) segmentectomy in patients with small-sized (&lt;2 cm) peripheral stage IA lung cancer. From November 2011 to January 2018, a total of 130 patients with resected stage IA non-small cell lung cancer (NSCLC) who underwent RATS (n=50) and VATS (n=80) pulmonary segmentectomy were included. Clinicopathologic data, recurrence rate, and survival were recorded. The demographics, pulmonary function, comorbidity, and tumor size were similar between RATS segmentectomy and VATS segmentectomy. The surgery time, intensive care unit stay, hospital stay, and blood loss were reduced in the RATS group compared to the VATS group. The number of totally dissected lymph nodes and postoperative complications were similar between the 2 groups. There was no operative mortality. The intensity of narcotic use during hospital stay and the time to return to routine daily activities were also reduced in the RATS group. There was no recurrence observed in the RATS group during the median 38-month follow-up period; meanwhile, during a median 85-month follow-up period in the VATS group, local recurrence and distant recurrence was observed in 2 patients (2.5%) and 3 patients (3.75%) respectively. There was no significant difference in the 5-year recurrence-free survival between the RATS and VATS groups (100% 93.75%; P&gt;0.05). RATS can be performed safely and effectively in patients with early-stage NSCLC. The reduced narcotic use and earlier return to routine daily activities of RATS patients might reflect its less traumatic nature as compared to VATS. For stage IA disease with small tumors (&lt;2 cm), segmentectomy performed by RATS has better oncologic efficacy when compared to VATS, although in this study, this difference did not reach statistical difference.</description><subject>Original</subject><issn>2218-6751</issn><issn>2226-4477</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkctu1TAQhi0EolXpjjXyA2Dqa3yyQaoqLpUqdQNry2c8zjFK4sj2CerD8K6kFFq68kj-55vRfIS8FfyDFFzZizZCYZIzo9QLciql7JjW1r68r8WOddaIE3Je6w_OudC9NqZ_TU6U1JJzy0_Jr9sFi29pRZqPDfKElfo50DHPA2tYJlqPZU2rH2mOtOR9bgmYrzXVhoFWHCacG0LL0x2NudDa_ID0-pKOx3mg4GfAQjfu4suW_5naga4pYH5itEMuHnKFvCR4TnxDXkU_Vjz_-56R758_fbv6ym5uv1xfXd4wUEI35uPOcmk6v_cdQi_2ZieiMToGu5N2u4eWEXqMHlQIKGIQAqwCqXrbRWGCOiMfH7jLcT9hgG2B4ke3lDT5cueyT-75z5wObsirs1IaocUGeP8AgJJrLRgfewV3f0y5e1NOcreZ2uLv_p_3GP7nRf0GSiiWHQ</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Zhou, Qianjun</creator><creator>Huang, Jia</creator><creator>Pan, Feng</creator><creator>Li, Jiantao</creator><creator>Liu, Yuan</creator><creator>Hou, Yucheng</creator><creator>Song, Weijian</creator><creator>Luo, Qingquan</creator><general>AME Publishing Company</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>202004</creationdate><title>Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy</title><author>Zhou, Qianjun ; Huang, Jia ; Pan, Feng ; Li, Jiantao ; Liu, Yuan ; Hou, Yucheng ; Song, Weijian ; Luo, Qingquan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-af870256aba6ec91b581f554fd782744742fc9efac3dde1fd11c73c23976f15d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Qianjun</creatorcontrib><creatorcontrib>Huang, Jia</creatorcontrib><creatorcontrib>Pan, Feng</creatorcontrib><creatorcontrib>Li, Jiantao</creatorcontrib><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Hou, Yucheng</creatorcontrib><creatorcontrib>Song, Weijian</creatorcontrib><creatorcontrib>Luo, Qingquan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Translational lung cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Qianjun</au><au>Huang, Jia</au><au>Pan, Feng</au><au>Li, Jiantao</au><au>Liu, Yuan</au><au>Hou, Yucheng</au><au>Song, Weijian</au><au>Luo, Qingquan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy</atitle><jtitle>Translational lung cancer research</jtitle><addtitle>Transl Lung Cancer Res</addtitle><date>2020-04</date><risdate>2020</risdate><volume>9</volume><issue>2</issue><spage>306</spage><epage>315</epage><pages>306-315</pages><issn>2218-6751</issn><eissn>2226-4477</eissn><abstract>Robotic anatomic segmentectomy (RATS) for early-stage lung cancer is being increasingly performed in spite of limited published evidence. To evaluate its safety and oncologic efficacy, we compared the outcomes of both RATS and video-assisted thoracoscopic (VATS) segmentectomy in patients with small-sized (&lt;2 cm) peripheral stage IA lung cancer. From November 2011 to January 2018, a total of 130 patients with resected stage IA non-small cell lung cancer (NSCLC) who underwent RATS (n=50) and VATS (n=80) pulmonary segmentectomy were included. Clinicopathologic data, recurrence rate, and survival were recorded. The demographics, pulmonary function, comorbidity, and tumor size were similar between RATS segmentectomy and VATS segmentectomy. The surgery time, intensive care unit stay, hospital stay, and blood loss were reduced in the RATS group compared to the VATS group. The number of totally dissected lymph nodes and postoperative complications were similar between the 2 groups. There was no operative mortality. The intensity of narcotic use during hospital stay and the time to return to routine daily activities were also reduced in the RATS group. There was no recurrence observed in the RATS group during the median 38-month follow-up period; meanwhile, during a median 85-month follow-up period in the VATS group, local recurrence and distant recurrence was observed in 2 patients (2.5%) and 3 patients (3.75%) respectively. There was no significant difference in the 5-year recurrence-free survival between the RATS and VATS groups (100% 93.75%; P&gt;0.05). RATS can be performed safely and effectively in patients with early-stage NSCLC. The reduced narcotic use and earlier return to routine daily activities of RATS patients might reflect its less traumatic nature as compared to VATS. For stage IA disease with small tumors (&lt;2 cm), segmentectomy performed by RATS has better oncologic efficacy when compared to VATS, although in this study, this difference did not reach statistical difference.</abstract><cop>China</cop><pub>AME Publishing Company</pub><pmid>32420070</pmid><doi>10.21037/tlcr-20-533</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2218-6751
ispartof Translational lung cancer research, 2020-04, Vol.9 (2), p.306-315
issn 2218-6751
2226-4477
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7225141
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Original
title Operative outcomes and long-term survival of robotic-assisted segmentectomy for stage IA lung cancer compared with video-assisted thoracoscopic segmentectomy
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T07%3A31%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Operative%20outcomes%20and%20long-term%20survival%20of%20robotic-assisted%20segmentectomy%20for%20stage%20IA%20lung%20cancer%20compared%20with%20video-assisted%20thoracoscopic%20segmentectomy&rft.jtitle=Translational%20lung%20cancer%20research&rft.au=Zhou,%20Qianjun&rft.date=2020-04&rft.volume=9&rft.issue=2&rft.spage=306&rft.epage=315&rft.pages=306-315&rft.issn=2218-6751&rft.eissn=2226-4477&rft_id=info:doi/10.21037/tlcr-20-533&rft_dat=%3Cpubmed_cross%3E32420070%3C/pubmed_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/32420070&rfr_iscdi=true