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：

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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,许世广,童向东,等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2013,20(3):308-311.
4.	刘伦旭,车国卫,蒲强,等.单向式全胸腔镜肺叶切除术.中华胸心血管外科杂志,2008,24(3):156-158.
5.	刘伦旭.胸腔镜肺癌切除:多样化的手术切口和流程.医学与哲学:临床决策论坛版,2011,32(9):11-13.
6.	张大坤,许世广.达芬奇机器人手术与胸腔镜辅助小切口手术对肺手术患者创伤对比分析.创伤与急危重病医,2014,2(5):296-299.
7.	鲁棒.达芬奇机器人手术系统最新应用统计数据.机器人技术与应用,2013,3:18.
8.	陈秀,韩冰,郭巍,等.胸外科应用达芬奇手术机器人的体会.临床外科杂志,2011,19(5):331-333.
9.	尹东涛,韩冰,褚剑,等.胸腺瘤的微创及开放手术治疗.现代肿瘤医学,2013,21(8):1759-1761.
10.	Palep JH.Robotic assisted minimally invasive surgery.J Minim Access,2009,5(1):1-7.
11.	陈秀.达芬奇手术机器人在胸外科的应用.中华腔镜外科杂志:电子版,2010,3(4):302-305.
12.	杜祥民,张永寿.达芬奇手术机器人系统介绍及应用进展.中国医学装备,2011,8(5):60-63.
13.	嵇武,李宁,黎介寿.我国机器人手术开展的现状与前景展望.腹腔镜外科杂志,2011,16(2):85-88.
14.	王先进,钟山,沈周俊.机器人手术的经济学探讨.上海医学,2011,34(1):70-73.
15.	潘冬青."达芬奇"机器人手术中常见的故障原因分析及对策.医学研究生学报,2013,26(1):52-53.
16.	易俊,董国华,许飚,等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报,2011,24(7):696-699.
17.	钟立哲.胸外科微创手术的新发展——达芬奇手术机器人.医学信息,2011,24(8):3901.
18.	丁征平,申屠阳,赵天成,等.高龄非小细胞肺癌患者的手术治疗及预后.中国胸心血管外科临床杂志,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,许世广,童向东,等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2013,20(3):308-311.
4. 刘伦旭,车国卫,蒲强,等.单向式全胸腔镜肺叶切除术.中华胸心血管外科杂志,2008,24(3):156-158.
5. 刘伦旭.胸腔镜肺癌切除:多样化的手术切口和流程.医学与哲学:临床决策论坛版,2011,32(9):11-13.
6. 张大坤,许世广.达芬奇机器人手术与胸腔镜辅助小切口手术对肺手术患者创伤对比分析.创伤与急危重病医,2014,2(5):296-299.
7. 鲁棒.达芬奇机器人手术系统最新应用统计数据.机器人技术与应用,2013,3:18.
8. 陈秀,韩冰,郭巍,等.胸外科应用达芬奇手术机器人的体会.临床外科杂志,2011,19(5):331-333.
9. 尹东涛,韩冰,褚剑,等.胸腺瘤的微创及开放手术治疗.现代肿瘤医学,2013,21(8):1759-1761.
10. Palep JH.Robotic assisted minimally invasive surgery.J Minim Access,2009,5(1):1-7.
11. 陈秀.达芬奇手术机器人在胸外科的应用.中华腔镜外科杂志:电子版,2010,3(4):302-305.
12. 杜祥民,张永寿.达芬奇手术机器人系统介绍及应用进展.中国医学装备,2011,8(5):60-63.
13. 嵇武,李宁,黎介寿.我国机器人手术开展的现状与前景展望.腹腔镜外科杂志,2011,16(2):85-88.
14. 王先进,钟山,沈周俊.机器人手术的经济学探讨.上海医学,2011,34(1):70-73.
15. 潘冬青."达芬奇"机器人手术中常见的故障原因分析及对策.医学研究生学报,2013,26(1):52-53.
16. 易俊,董国华,许飚,等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报,2011,24(7):696-699.
17. 钟立哲.胸外科微创手术的新发展——达芬奇手术机器人.医学信息,2011,24(8):3901.
18. 丁征平,申屠阳,赵天成,等.高龄非小细胞肺癌患者的手术治疗及预后.中国胸心血管外科临床杂志,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.

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

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