Postoperative Pain Status of Patients with Video-assisted Toracoscopic Surgery (VATS) versus Robotic VAST (RATS): A Comparative Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHUYong-qiao , HUANGJia , LINHao , HUYing-jie ,  LUOQing-quan

Department of Toracic Surgery, Shanghai Chest Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200030, P. R. China;

Corresponding?author：

LUOQing-quan, Email: luoqingquan@hotmail.com

Keywords：

Thoracic surgery; Da Vinci robotic surgery system; Pain

DOI：

10.7507/1007-4848.20150274

Video：

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Objective To estimate postoperative pain and use of analgesic of patients who underwent video-assisted thoracoscopic surgery(VATS) or robotic assisted thoracoscopic surgery(RATS). Methods From October 2014 through August 2015, 339 patients were treated by surgery in Shanghai Chest Hospital. Among them, 116 patients with intrathoracic lesions who underwent RATS with the da Vinci? Surgical System were as a RATS group with 51 males and 65 females at age of 52.59±11.49 years. Another 223 patients by VATS were as a VATS group with 93 males and 130 females at age of 58.00±10.56 years. We recorded the data of the VAS score and use analgesic of the patients after surgery. Results There was a significant difference in VAS score between the RATS group and the VATS group(3.01±0.18 vs. 5.19±0.14, P<0.05). Astatistical difference of analgesic use between RATS and VATS was also found(1.09±0.12 vs. 1.77±0.10, P<0.05). Conclusion Compared with VATS, the postoperative pain of the patients who underwent RATS is lighter. And the use of analgesic is less.

Citation： ZHUYong-qiao, HUANGJia, LINHao, HUYing-jie, LUOQing-quan. Postoperative Pain Status of Patients with Video-assisted Toracoscopic Surgery (VATS) versus Robotic VAST (RATS): A Comparative Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(12): 1095-1099. doi: 10.7507/1007-4848.20150274 Copy

1.	Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage non-small cell lung cancer:a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6):2008-2018.
2.	Lewis RJ, Caccavale RJ, Sisler GE. Special report:video-endoscopic thoracic surgery. N J Med, 1991, 88(7):473-475.
3.	Lewis RJ, Caccavale RJ, Sisler GE, et al. Thoracoscopic pulmonary resection. Ann Thorac Surg, 1995, 60(4):1157-1159.
4.	Lewis RJ, Caccavale RJ, Sisler GE, et al. Video-assisted thoracic surgical resection of malignant lung tumors. J Thorac Cardiovasc Surg, 1992, 104(6):1679-1687.
5.	Kim AW, Detterbeck FC. Advances in surgical techniques in non-small cell lung cancer. Semin Respir Crit Care Med, 2013, 34(6):855-866.
6.	黃佳, 羅清泉, 方文濤, 等. 機器人輔助胸腔鏡技術應用于胸外科初步經驗. 中華腔鏡外科雜志(電子版), 2012,4:281-287.
7.	黃佳, 趙曉菁, 林皓,等. 單向四孔法全胸腔鏡肺葉切除術治療非小細胞肺癌的臨床研究. 中國胸心血管外科臨床雜志, 2012, 19(2):125-129.
8.	黃佳, 羅清泉, 方文濤, 等. 機器人外科手術系統輔助治療縱隔腫瘤的初步經驗. 上海醫學, 2011, 34(1):47-50, 封2.
9.	Huang J, Luo Q, Tan Q, et al. Initial experience of robot-assisted thoracoscopic surgery in China. Int J Med Robot, 2014, 10(4):404-409.
10.	宗行萬之助. 疼痛的估價——用特殊的視覺模擬評分法作參考(VAS). 疼痛學雜志, 1994, 4:153.
11.	丁仁泉, 童向東, 許世廣, 等. 達芬奇機器人手術系統與電視胸腔鏡在胸內縱隔疾病手術治療中的對比研究. 中國肺癌雜志, 2014, 7:557-562.
12.	徐恩五. 肺癌的微創外科治療. 中國微創外科雜志, 2012, 12(8):748-751.
13.	陳剛, 吳一龍, 王沐廷. 肺癌微創外科治療的現狀及進展. 中國微創外科雜志, 2008, 8(11):976-978.
14.	周允中. 微創和擴大:肺癌外科治療的取向. 2006全國肺外科學術大會,山東泰山, 2006. 31-33.
15.	余佩武,唐波. 達芬奇機器人胃癌手術相關技術與應用前景. 中國微創外科雜志, 2012, 12(7):584-585.
16.	孫清華, 于靜, 楊菁. 機器人手術系統的發展歷史與未來. 科技資訊, 2013, 19:6.
17.	Byrn JC, Schluender S, Divino CM, et al. Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System. Am J Surg, 2007, 193, 4:519-522.
18.	Nasir BS, Bryant AS, Minnich DJ, et al. Performing robotic lobectomy and segmentectomy:cost, profitability, and outcomes. Ann Thorac Surg, 2014, 98(1):203-209.
19.	Louie BE, Farivar AS, Aye RW, et al. Early experience with robotic lung resection results in similar operative outcomes and morbidity when compared with matched video-assisted thoracoscopic surgery cases. Ann Thorac Surg, 2012, 93(5):1598-1605.
20.	Ohhaus EE, Adler R. Methodological problems in the measurement of pain:a comparison between the verbal rating scale and the visual analogue scale. Pain, 1975, 1(4):379-384.
21.	張大坤, 許世廣, 丁仁泉, 等. 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. 創傷與急危重病醫學, 2014, 2(5):296-300.
22.	Lanfranco AR, Castellanos AE, Desai JP, et al. Robotic surgery:a current perspective. Ann Surg, 2004, 239(1):14-21.
23.	徐兆紅, 宋成利, 閆士舉. 機器人在微創外科手術中的應用. 中國組織工程研究與臨床康復, 2011, 15(35):6598-6601.

1. Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage non-small cell lung cancer:a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6):2008-2018.
2. Lewis RJ, Caccavale RJ, Sisler GE. Special report:video-endoscopic thoracic surgery. N J Med, 1991, 88(7):473-475.
3. Lewis RJ, Caccavale RJ, Sisler GE, et al. Thoracoscopic pulmonary resection. Ann Thorac Surg, 1995, 60(4):1157-1159.
4. Lewis RJ, Caccavale RJ, Sisler GE, et al. Video-assisted thoracic surgical resection of malignant lung tumors. J Thorac Cardiovasc Surg, 1992, 104(6):1679-1687.
5. Kim AW, Detterbeck FC. Advances in surgical techniques in non-small cell lung cancer. Semin Respir Crit Care Med, 2013, 34(6):855-866.
6. 黃佳, 羅清泉, 方文濤, 等. 機器人輔助胸腔鏡技術應用于胸外科初步經驗. 中華腔鏡外科雜志(電子版), 2012,4:281-287.
7. 黃佳, 趙曉菁, 林皓,等. 單向四孔法全胸腔鏡肺葉切除術治療非小細胞肺癌的臨床研究. 中國胸心血管外科臨床雜志, 2012, 19(2):125-129.
8. 黃佳, 羅清泉, 方文濤, 等. 機器人外科手術系統輔助治療縱隔腫瘤的初步經驗. 上海醫學, 2011, 34(1):47-50, 封2.
9. Huang J, Luo Q, Tan Q, et al. Initial experience of robot-assisted thoracoscopic surgery in China. Int J Med Robot, 2014, 10(4):404-409.
10. 宗行萬之助. 疼痛的估價——用特殊的視覺模擬評分法作參考(VAS). 疼痛學雜志, 1994, 4:153.
11. 丁仁泉, 童向東, 許世廣, 等. 達芬奇機器人手術系統與電視胸腔鏡在胸內縱隔疾病手術治療中的對比研究. 中國肺癌雜志, 2014, 7:557-562.
12. 徐恩五. 肺癌的微創外科治療. 中國微創外科雜志, 2012, 12(8):748-751.
13. 陳剛, 吳一龍, 王沐廷. 肺癌微創外科治療的現狀及進展. 中國微創外科雜志, 2008, 8(11):976-978.
14. 周允中. 微創和擴大:肺癌外科治療的取向. 2006全國肺外科學術大會,山東泰山, 2006. 31-33.
15. 余佩武,唐波. 達芬奇機器人胃癌手術相關技術與應用前景. 中國微創外科雜志, 2012, 12(7):584-585.
16. 孫清華, 于靜, 楊菁. 機器人手術系統的發展歷史與未來. 科技資訊, 2013, 19:6.
17. Byrn JC, Schluender S, Divino CM, et al. Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System. Am J Surg, 2007, 193, 4:519-522.
18. Nasir BS, Bryant AS, Minnich DJ, et al. Performing robotic lobectomy and segmentectomy:cost, profitability, and outcomes. Ann Thorac Surg, 2014, 98(1):203-209.
19. Louie BE, Farivar AS, Aye RW, et al. Early experience with robotic lung resection results in similar operative outcomes and morbidity when compared with matched video-assisted thoracoscopic surgery cases. Ann Thorac Surg, 2012, 93(5):1598-1605.
20. Ohhaus EE, Adler R. Methodological problems in the measurement of pain:a comparison between the verbal rating scale and the visual analogue scale. Pain, 1975, 1(4):379-384.
21. 張大坤, 許世廣, 丁仁泉, 等. 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. 創傷與急危重病醫學, 2014, 2(5):296-300.
22. Lanfranco AR, Castellanos AE, Desai JP, et al. Robotic surgery:a current perspective. Ann Surg, 2004, 239(1):14-21.
23. 徐兆紅, 宋成利, 閆士舉. 機器人在微創外科手術中的應用. 中國組織工程研究與臨床康復, 2011, 15(35):6598-6601.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Postoperative Pain Status of Patients with Video-assisted Toracoscopic Surgery (VATS) versus Robotic VAST (RATS): A Comparative Study

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