Da Vinci Robot System versus Video-assisted Thoracoscopy for the Senile Patients with Radical Surgery of Lung Cancer: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XUWei ,  WANGShu-min , XUShi-guang , LIUXing-chi , LIBo , MENGHao , QUJia-qi

Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, P. R. China;

Corresponding?author：

WANGShu-min, Email: sureman2003congo@163.com

Keywords：

Da Vinci robot system; Senile patients; Radical surgery of lung cancer

DOI：

10.7507/1007-4848.20150227

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the feasibility and safety of da Vinci robotic surgery for elderly patients with pulmonary lobectomy. Methods We retrospectively analyzed the clinical data of 50 patients in General Hospital of Shenyang Military Region of Thoracic Surgery between May 2012 and March 2015.The patients were divided into two groups. Twenty five patients aged over 70 years underwent radical operation of lung cancer with da Vinci Robot System were allocated into a robot group with 17 males and 8 females at age of 72.6 ±2.5 years. Another 25 senile patients with radical surgery by video-assisted thoracoscopic surgery (VATS) were allocated into a thoracoscopic group with 17 males and 8 females at age of 72.5±2.4 years. The patients in the two groups underwent pulmonary lobectomy and mediastinal lymph node dissection. The clinical effect of the two groups was compared. Results All patients were diagnosed as lung cancer. Twenty five patients all completed surgery under da Vinci Robot System in the robot group. In the thoracoscopic group, one patient was converted to thoracotomy. There were statistical differences in amount of blood loss (66.2±44.2 ml vs. 356.0±349.2 ml, P=0.000), lymph node number (23.2±9.8 vs. 11.3±5.6, P=0.012), and postoperative bed time (3.5±0.9 d vs. 4.2±1.1 d, P=0.017) between the two groups. Effect in the robot group was superior to that in the thoracoscopic group. Conclusion Da Vinci robotic surgery system for elderly patients with lung cancer radical surgery is safe, effective, and less thoracoscopic surgery trauma, recovery faster.

Citation： XUWei, WANGShu-min, XUShi-guang, LIUXing-chi, LIBo, MENGHao, QUJia-qi. Da Vinci Robot System versus Video-assisted Thoracoscopy for the Senile Patients with Radical Surgery of Lung Cancer: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 906-909. doi: 10.7507/1007-4848.20150227 Copy

1.	Pugin F,Bucher P,Morel P.History of robotic surgery:from Aesop and EUS to da Vinci.J Visc Surg,2011,148(5):e3-e8.
2.	Wilson EB.The evolution of robotic general surgery.Scand J Surg,2009,98(2):125-134.
3.	王述民,許世廣,童向東,等.機器人肺葉切除術治療非小細胞肺癌.中國胸心血管外科臨床雜志,2013,20(3):308-311.
4.	劉倫旭,車國衛,蒲強,等.單向式全胸腔鏡肺葉切除術.中華胸心血管外科雜志,2008,24(3):156-158.
5.	劉倫旭.胸腔鏡肺癌切除:多樣化的手術切口和流程.醫學與哲學:臨床決策論壇版,2011,32(9):11-13.
6.	張大坤,許世廣.達芬奇機器人手術與胸腔鏡輔助小切口手術對肺手術患者創傷對比分析.創傷與急危重病醫,2014,2(5):296-299.
7.	魯棒.達芬奇機器人手術系統最新應用統計數據.機器人技術與應用,2013,3:18.
8.	陳秀,韓冰,郭巍,等.胸外科應用達芬奇手術機器人的體會.臨床外科雜志,2011,19(5):331-333.
9.	尹東濤,韓冰,褚劍,等.胸腺瘤的微創及開放手術治療.現代腫瘤醫學,2013,21(8):1759-1761.
10.	Palep JH.Robotic assisted minimally invasive surgery.J Minim Access,2009,5(1):1-7.
11.	陳秀.達芬奇手術機器人在胸外科的應用.中華腔鏡外科雜志:電子版,2010,3(4):302-305.
12.	杜祥民,張永壽.達芬奇手術機器人系統介紹及應用進展.中國醫學裝備,2011,8(5):60-63.
13.	嵇武,李寧,黎介壽.我國機器人手術開展的現狀與前景展望.腹腔鏡外科雜志,2011,16(2):85-88.
14.	王先進,鐘山,沈周俊.機器人手術的經濟學探討.上海醫學,2011,34(1):70-73.
15.	潘冬青."達芬奇"機器人手術中常見的故障原因分析及對策.醫學研究生學報,2013,26(1):52-53.
16.	易俊,董國華,許飚,等.達芬奇-S外科手術輔助系統在普胸外科的應用.醫學研究生學報,2011,24(7):696-699.
17.	鐘立哲.胸外科微創手術的新發展——達芬奇手術機器人.醫學信息,2011,24(8):3901.
18.	丁征平,申屠陽,趙天成,等.高齡非小細胞肺癌患者的手術治療及預后.中國胸心血管外科臨床雜志,2009,16(1):14-17.
19.	Nicolas B,Pietro A,Francesco B,et al.Safety of robotic general surgery in elderly patients.J Robotic Surg,2010,4(2):91-98.
20.	Jones A,Sethia K.Robotic surgery.Ann R Coll Surg Eng,2010,92(1):5-13.

1. Pugin F,Bucher P,Morel P.History of robotic surgery:from Aesop and EUS to da Vinci.J Visc Surg,2011,148(5):e3-e8.
2. Wilson EB.The evolution of robotic general surgery.Scand J Surg,2009,98(2):125-134.
3. 王述民,許世廣,童向東,等.機器人肺葉切除術治療非小細胞肺癌.中國胸心血管外科臨床雜志,2013,20(3):308-311.
4. 劉倫旭,車國衛,蒲強,等.單向式全胸腔鏡肺葉切除術.中華胸心血管外科雜志,2008,24(3):156-158.
5. 劉倫旭.胸腔鏡肺癌切除:多樣化的手術切口和流程.醫學與哲學:臨床決策論壇版,2011,32(9):11-13.
6. 張大坤,許世廣.達芬奇機器人手術與胸腔鏡輔助小切口手術對肺手術患者創傷對比分析.創傷與急危重病醫,2014,2(5):296-299.
7. 魯棒.達芬奇機器人手術系統最新應用統計數據.機器人技術與應用,2013,3:18.
8. 陳秀,韓冰,郭巍,等.胸外科應用達芬奇手術機器人的體會.臨床外科雜志,2011,19(5):331-333.
9. 尹東濤,韓冰,褚劍,等.胸腺瘤的微創及開放手術治療.現代腫瘤醫學,2013,21(8):1759-1761.
10. Palep JH.Robotic assisted minimally invasive surgery.J Minim Access,2009,5(1):1-7.
11. 陳秀.達芬奇手術機器人在胸外科的應用.中華腔鏡外科雜志:電子版,2010,3(4):302-305.
12. 杜祥民,張永壽.達芬奇手術機器人系統介紹及應用進展.中國醫學裝備,2011,8(5):60-63.
13. 嵇武,李寧,黎介壽.我國機器人手術開展的現狀與前景展望.腹腔鏡外科雜志,2011,16(2):85-88.
14. 王先進,鐘山,沈周俊.機器人手術的經濟學探討.上海醫學,2011,34(1):70-73.
15. 潘冬青."達芬奇"機器人手術中常見的故障原因分析及對策.醫學研究生學報,2013,26(1):52-53.
16. 易俊,董國華,許飚,等.達芬奇-S外科手術輔助系統在普胸外科的應用.醫學研究生學報,2011,24(7):696-699.
17. 鐘立哲.胸外科微創手術的新發展——達芬奇手術機器人.醫學信息,2011,24(8):3901.
18. 丁征平,申屠陽,趙天成,等.高齡非小細胞肺癌患者的手術治療及預后.中國胸心血管外科臨床雜志,2009,16(1):14-17.
19. Nicolas B,Pietro A,Francesco B,et al.Safety of robotic general surgery in elderly patients.J Robotic Surg,2010,4(2):91-98.
20. Jones A,Sethia K.Robotic surgery.Ann R Coll Surg Eng,2010,92(1):5-13.

Previous Article
Da Vinci Robotic Lung Segmentectomy and Thoracoscopic Lung Segmentectomy: A Case Control Study
Next Article
Robot-assisted Thoracoscopic Esophagectomy for Esophageal Carcinoma

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Da Vinci Robot System versus Video-assisted Thoracoscopy for the Senile Patients with Radical Surgery of Lung Cancer: A Case Control Study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content