Comparison of Two-Port and Three-Port Approaches in Robotic Lobectomy for Non-Small Cell Lung Cancer
- Authors
- Han, Kook Nam; Lee, Jun Hee; Hong, Jeong In; Kim, Hyun Koo
- Issue Date
- Oct-2022
- Publisher
- Springer Verlag
- Citation
- World Journal of Surgery, v.46, no.10, pp 2517 - 2525
- Pages
- 9
- Indexed
- SCIE
SCOPUS
- Journal Title
- World Journal of Surgery
- Volume
- 46
- Number
- 10
- Start Page
- 2517
- End Page
- 2525
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61283
- DOI
- 10.1007/s00268-022-06660-4
- ISSN
- 0364-2313
1432-2323
- Abstract
- Background
Robot-assisted lobectomy has been used to treat non-small cell lung cancer and usually uses 3 or 4 ports and 3 or 4 robotic arms. We recently developed a two-port approach for robotic lobectomy using three robotic arms and performed a propensity score-matched analysis to compare the feasibility of the two-port and three-port techniques.
Methods
Data on robotic lobectomy for non-small cell lung cancer were retrospectively reviewed. Patients were matched using propensity score based on age, sex, smoking, diabetes, hypertension, forced expiratory volume per 1 s, neoadjuvant chemotherapy, clinical stage, lobe involved, tumor size, and cell types. Overall, 53 and 89 patients who underwent the two-port and three-port approaches, respectively, were matched (1:1 ratio; caliper distance, 0.2). We analyzed the perioperative outcomes and postoperative pain to evaluate the feasibility and safety.
Results
The matched group included 37 patients each who underwent two-port and three-port robotic lobectomy. The operation time was shorter in the two-port group (P = .01). The number of lymph nodes resected (P = .70), conversion to multiport or thoracotomy (P > .99), morbidity and mortality (P = .31), drain indwelling time (P = .32), and hospital stay (P = .11) were not significantly different between the groups. The postoperative pain was less at 0–3 postoperative days (P < .01) in the two-port group. The total medical cost was not markedly increased after transitioning to the two-port technique.
Conclusions
Two-port approach in robotic lobectomy is a safe and feasible alternative approach for treating non-small cell lung cancer.
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- Appears in
Collections - 2. Clinical Science > Department of Thoracic and Cardiovascular Surgery > 1. Journal Articles
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