초록접수 현황
| 17F-101 | 포럼 발표 |
Initial Experiences of Robotic Lobectomy for Lung Cancer
Seha Ahn, Jin Yong Jeong
Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary`s Hospital, The Catholic University College of Medicine, Incheon, Republic of Korea
Purpose : We analyzed and compared the outcomes of our initial experiences with robotic versus VATS lobectomy at a single institution.
Methods : Thirty-four patients with lung cancer underwent robotic lobectomy between November 2011 and February 2016 our hospital (robotic group). During the same period, the same surgeon performed VATS lobectomy on 53 patients with lung cancer (VATS group). The medical records of these patients were retrospectively analyzed.
Results : There were no significant differences between the robotic and VATS groups with respect to sex, pathologic type, tumor location, tumor size, or pathologic stage (all p > 0.05). However, the operation times of the two groups were significantly different (robotic group, 293 ± 74 min; VATS group, 201 ± 62 min; p < 0.01). More intraoperative blood loss occurred in the robotic group than in the VATS group (robotic group, 403 ± 197 mL; VATS group, 298 ± 188 mL; p = 0.018). The numbers of lymph nodes dissected in the two groups were significantly different (robotic group, 22 ± 12; VATS group, 14 ± 7; p < 0.01).
Conclusion : In our initial experience, robotic lobectomy was associated with a longer operation time and more intraoperative blood loss than VATS lobectomy. However, robotic surgery resulted in more lymph nodes being dissected. These results suggest that if operation time and intraoperative blood loss improve as the learning curve progresses, robotic surgery has the potential to overcome the limitations of VATS in lung cancer surgery.
Methods : Thirty-four patients with lung cancer underwent robotic lobectomy between November 2011 and February 2016 our hospital (robotic group). During the same period, the same surgeon performed VATS lobectomy on 53 patients with lung cancer (VATS group). The medical records of these patients were retrospectively analyzed.
Results : There were no significant differences between the robotic and VATS groups with respect to sex, pathologic type, tumor location, tumor size, or pathologic stage (all p > 0.05). However, the operation times of the two groups were significantly different (robotic group, 293 ± 74 min; VATS group, 201 ± 62 min; p < 0.01). More intraoperative blood loss occurred in the robotic group than in the VATS group (robotic group, 403 ± 197 mL; VATS group, 298 ± 188 mL; p = 0.018). The numbers of lymph nodes dissected in the two groups were significantly different (robotic group, 22 ± 12; VATS group, 14 ± 7; p < 0.01).
Conclusion : In our initial experience, robotic lobectomy was associated with a longer operation time and more intraoperative blood loss than VATS lobectomy. However, robotic surgery resulted in more lymph nodes being dissected. These results suggest that if operation time and intraoperative blood loss improve as the learning curve progresses, robotic surgery has the potential to overcome the limitations of VATS in lung cancer surgery.
책임저자: Jin Yong Jeong
Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary`s Hospital, The Catholic University College of Medicine, Incheon, Republic of Korea
발표자: Seha Ahn, E-mail : seha1228@hanmail.net