Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Xiaowen ¹ , FANG Shaohan ² , FENG Yihui ² , LIU Jingwei ¹ , PAN Jianyun ¹ , SHAN Longyu ¹ , WANG Zhilin ¹ ,  GENG Guojun ² ,  JIANG Jie ²

1. Second Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361003, Fujian, P. R. China;
2. Second Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, Fujian, P. R. China;

Corresponding?author：

GENG Guojun, Email: ggj622@126.com; JIANG Jie, Email: jiangjie06@126.com

Keywords：

Da Vinci robot; three-port method; lung cancer; pain; treatment; operation

DOI：

10.7507/1007-4848.202204004

Video：

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Objective To investigate the clinical effect of three-port Da Vinci robot-assisted radical resection of lung cancer. Methods The clinical data of patients who underwent Da Vinci robot-assisted radical resection of lung cancer in the Second Department of Thoracic Surgery, the First Affiliated Hospital of Xiamen University from April 2021 to March 2022 were retrospectively analyzed. According to the number of surgical ports, they were divided into two groups: a three-port group (three-port Da Vinci robot-assisted radical resection of lung cancer), and a four-port group (traditional Da Vinci robot-assisted radical resection of lung cancer). The operation time, intraoperative bleeding, lymphadenectomy, total thoracic drainage, extubation time, postoperative complications and postoperative pain of the two groups were compared and analyzed. Results A total of 58 patients were included, including 19 males and 39 females, aged 31-79 years. There were 21 patients in the three-port group, and 37 patients in the four-port group. The visual analogue scores on the first and third day after the operation were 4.33±1.20 points and 2.24±0.77 points in the three-port group, and 5.11±1.22 points and 2.78±1.06 points in the four-port group, and there were statistical differences between the two groups (P<0.05). There was no significant difference between the two groups in terms of operation time, intraoperative bleeding, lymph node dissection, postoperative thoracic drainage, time of thoracic tube insertion or postoperative complications (P>0.05). Conclusion Three-port Da Vinci robot-assisted radical resection of lung cancer can reduce the postoperative pain without increasing the operation difficulty and complications, and can be widely used in the clinical practice.

Citation： ZHANG Xiaowen, FANG Shaohan, FENG Yihui, LIU Jingwei, PAN Jianyun, SHAN Longyu, WANG Zhilin, GENG Guojun, JIANG Jie. Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(5): 678-682. doi: 10.7507/1007-4848.202204004 Copy

1.	Li Q, Fan X, Huo JW, et al. Differential diagnosis of localized pneumonic-type lung adenocarcinoma and pulmonary inflammatory lesion. Insights Imaging, 2022, 13(1): 49.
2.	Wang R, Wang Q, Jiang S, et al. Spontaneous ventilation video-assisted thoracoscopic surgery for non-small-cell lung cancer patients with poor lung function: Short- and long-term outcomes. Front Surg, 2022, 9: 800082.
3.	Nachira D, Congedo MT, Tabacco D, et al. Surgical effectiveness of uniportal-VATS lobectomy compared to open surgery in early-stage lung cancer. Front Surg, 2022, 9: 840070.
4.	Matsuura N, Igai H, Ohsawa F, et al. Safety and feasibility of uniportal video-assisted thoracoscopic uncommon segmentectomy. J Thorac Dis, 2021, 13(5): 3001-3009.
5.	植華德, 何德榮, 謝保東, 等. 基層醫院開展全胸腔鏡肺葉切除術治療早期肺癌的臨床研究. 疑難病雜志, 2016, 15(9): 885-888.
6.	Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg, 2020, 155(2): 148-158.
7.	潘相龍, 許晶, 何志成, 等. 胸腔鏡切口數對肺切除手術早期療效的影響. 南京醫科大學學報(自然科學版), 2021, 41(6): 889-891.
8.	張帆, 周勇鋒, 辛偉. 不同類型胸腔鏡治療非小細胞肺癌的臨床效果及對患者并發癥的影響. 山西醫藥雜志, 2022, 51(8): 850-853.
9.	Hu CG, Zheng K, Liu GH, et al. Effectiveness and postoperative pain level of single-port versus two-port thoracoscopic lobectomy for lung cancer: A retrospective cohort study. Gen Thorac Cardiovasc Surg, 2021, 69(2): 318-325.
10.	楊明, 宋書田, 李鯤鵬, 等. 兩孔法和三孔法胸腔鏡下行肺葉切除和淋巴結清掃術治療肺癌的療效比較. 中國臨床醫生雜志, 2022, 50(5): 591-594.
11.	Xie MR, Zhu YF, Zhou MQ, et al. Analysis of factors related to chronic cough after lung cancer surgery. Thorac Cancer, 2019, 10(4): 898-903.
12.	Colucci DB, Fiore JF, Paisani DM, et al. Cough impairment and risk of postoperative pulmonary complications after open upper abdominal surgery. Respir Care, 2015, 60(5): 673-678.
13.	Cassidy MR, Rosenkranz P, McCabe K, et al. ⅠCOUGH: Reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg, 2013, 148(8): 740-745.
14.	王希龍, 許世廣, 劉博, 等. 達芬奇機器人與胸腔鏡輔助小切口手術患者術后疼痛的病例對照研究. 中國胸心血管外科臨床雜志, 2016, 23(3): 230-233.
15.	漏佳穎, 吳佳豐, 孫錫飛, 等. 胸腔鏡手術對肺癌患者術后感染及疼痛應激相關指標的影響. 浙江創傷外科, 2022, 27(1): 32-34.
16.	Liu Z, Yang R, Shao F. Comparison of postoperative pain and recovery between single-port and two-port thoracoscopic lobectomy for lung cancer. Thorac Cardiovasc Surg, 2019, 67(2): 142-146.
17.	蒲睿智, 趙強, 胡德宏, 等. 單孔與單操作孔胸腔鏡肺癌根治術治療早期肺癌的療效對比. 局解手術學雜志, 2022, 31(1): 40-43.
18.	曹孟昆, 姜杰, 朱曉雷, 等. 人工智能肺部結節輔助診療系統預測肺結節的良惡性及浸潤情況. 中國胸心血管外科臨床雜志, 2021, 28(3): 283-287.
19.	解明然, 王高祥, 徐美青, 等. 術前規劃聯合熒光胸腔鏡精準肺段手術較傳統胸腔鏡肺段手術治療早期肺腺癌近期結果比較. 中國肺癌雜志, 2021, 24(7): 483-489.
20.	Liu X, Zhao Y, Xuan Y, et al. Three-dimensional printing in the preoperative planning of thoracoscopic pulmonary segmentectomy. Transl Lung Cancer Res, 2019, 8(6): 929-937.

1. Li Q, Fan X, Huo JW, et al. Differential diagnosis of localized pneumonic-type lung adenocarcinoma and pulmonary inflammatory lesion. Insights Imaging, 2022, 13(1): 49.
2. Wang R, Wang Q, Jiang S, et al. Spontaneous ventilation video-assisted thoracoscopic surgery for non-small-cell lung cancer patients with poor lung function: Short- and long-term outcomes. Front Surg, 2022, 9: 800082.
3. Nachira D, Congedo MT, Tabacco D, et al. Surgical effectiveness of uniportal-VATS lobectomy compared to open surgery in early-stage lung cancer. Front Surg, 2022, 9: 840070.
4. Matsuura N, Igai H, Ohsawa F, et al. Safety and feasibility of uniportal video-assisted thoracoscopic uncommon segmentectomy. J Thorac Dis, 2021, 13(5): 3001-3009.
5. 植華德, 何德榮, 謝保東, 等. 基層醫院開展全胸腔鏡肺葉切除術治療早期肺癌的臨床研究. 疑難病雜志, 2016, 15(9): 885-888.
6. Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg, 2020, 155(2): 148-158.
7. 潘相龍, 許晶, 何志成, 等. 胸腔鏡切口數對肺切除手術早期療效的影響. 南京醫科大學學報(自然科學版), 2021, 41(6): 889-891.
8. 張帆, 周勇鋒, 辛偉. 不同類型胸腔鏡治療非小細胞肺癌的臨床效果及對患者并發癥的影響. 山西醫藥雜志, 2022, 51(8): 850-853.
9. Hu CG, Zheng K, Liu GH, et al. Effectiveness and postoperative pain level of single-port versus two-port thoracoscopic lobectomy for lung cancer: A retrospective cohort study. Gen Thorac Cardiovasc Surg, 2021, 69(2): 318-325.
10. 楊明, 宋書田, 李鯤鵬, 等. 兩孔法和三孔法胸腔鏡下行肺葉切除和淋巴結清掃術治療肺癌的療效比較. 中國臨床醫生雜志, 2022, 50(5): 591-594.
11. Xie MR, Zhu YF, Zhou MQ, et al. Analysis of factors related to chronic cough after lung cancer surgery. Thorac Cancer, 2019, 10(4): 898-903.
12. Colucci DB, Fiore JF, Paisani DM, et al. Cough impairment and risk of postoperative pulmonary complications after open upper abdominal surgery. Respir Care, 2015, 60(5): 673-678.
13. Cassidy MR, Rosenkranz P, McCabe K, et al. ⅠCOUGH: Reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg, 2013, 148(8): 740-745.
14. 王希龍, 許世廣, 劉博, 等. 達芬奇機器人與胸腔鏡輔助小切口手術患者術后疼痛的病例對照研究. 中國胸心血管外科臨床雜志, 2016, 23(3): 230-233.
15. 漏佳穎, 吳佳豐, 孫錫飛, 等. 胸腔鏡手術對肺癌患者術后感染及疼痛應激相關指標的影響. 浙江創傷外科, 2022, 27(1): 32-34.
16. Liu Z, Yang R, Shao F. Comparison of postoperative pain and recovery between single-port and two-port thoracoscopic lobectomy for lung cancer. Thorac Cardiovasc Surg, 2019, 67(2): 142-146.
17. 蒲睿智, 趙強, 胡德宏, 等. 單孔與單操作孔胸腔鏡肺癌根治術治療早期肺癌的療效對比. 局解手術學雜志, 2022, 31(1): 40-43.
18. 曹孟昆, 姜杰, 朱曉雷, 等. 人工智能肺部結節輔助診療系統預測肺結節的良惡性及浸潤情況. 中國胸心血管外科臨床雜志, 2021, 28(3): 283-287.
19. 解明然, 王高祥, 徐美青, 等. 術前規劃聯合熒光胸腔鏡精準肺段手術較傳統胸腔鏡肺段手術治療早期肺腺癌近期結果比較. 中國肺癌雜志, 2021, 24(7): 483-489.
20. Liu X, Zhao Y, Xuan Y, et al. Three-dimensional printing in the preoperative planning of thoracoscopic pulmonary segmentectomy. Transl Lung Cancer Res, 2019, 8(6): 929-937.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer

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