[Robot-assisted thoracic surgery. Our first experiences].

Magyar onkologia Pub Date : 2024-09-19 Epub Date: 2024-07-30

Áron Ghimessy, Péter Radeczky, Klára Török, Levente Bogyó, Kristóf Csende, László Mészáros, Balázs Gieszer, Hanna Tihanyi, Gábor Tarsoly, Márton Csaba, Sára Lality, Kázmér István Hartyánszky, Ákos Kocsis, Ildikó Madurka, László Agócs, Ferenc Rényi-Vámos

{"title":"[Robot-assisted thoracic surgery. Our first experiences].","authors":"Áron Ghimessy, Péter Radeczky, Klára Török, Levente Bogyó, Kristóf Csende, László Mészáros, Balázs Gieszer, Hanna Tihanyi, Gábor Tarsoly, Márton Csaba, Sára Lality, Kázmér István Hartyánszky, Ákos Kocsis, Ildikó Madurka, László Agócs, Ferenc Rényi-Vámos","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Our goal was to examine the postoperative indicators after the first 300 thoracic robotic cases in the National Institute of Oncology. We retrospectively analyzed the clinicopathological and postoperative indicators of the first 300 patients. We also compared the first 30 cases performed by one surgeon to his 30 VATS (video-assisted thoracic surgery) and open cases. The average hospital stay was 5.2 days, the chest tube was removed on the second day. Conversion, need for reoperation and morbidity was low (1.8%, 2% and 10.6%, respectively). The change in operating time slows down after 20 cases. The hospital stay and complications were slightly favorable with RATS (robotic-assisted thoracic surgery) than with VATS. The intensive care stay, however, was significantly shorter while the amount of removed lymph nodes was significantly higher in RATS procedures. As a conclusion, RATS is a safe technique in thoracic surgery. Moreover, more lymph nodes are removed with RATS which can lead to better staging.</p>","PeriodicalId":94127,"journal":{"name":"Magyar onkologia","volume":"68 3","pages":"223-228"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Magyar onkologia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Our goal was to examine the postoperative indicators after the first 300 thoracic robotic cases in the National Institute of Oncology. We retrospectively analyzed the clinicopathological and postoperative indicators of the first 300 patients. We also compared the first 30 cases performed by one surgeon to his 30 VATS (video-assisted thoracic surgery) and open cases. The average hospital stay was 5.2 days, the chest tube was removed on the second day. Conversion, need for reoperation and morbidity was low (1.8%, 2% and 10.6%, respectively). The change in operating time slows down after 20 cases. The hospital stay and complications were slightly favorable with RATS (robotic-assisted thoracic surgery) than with VATS. The intensive care stay, however, was significantly shorter while the amount of removed lymph nodes was significantly higher in RATS procedures. As a conclusion, RATS is a safe technique in thoracic surgery. Moreover, more lymph nodes are removed with RATS which can lead to better staging.

本刊更多论文

[机器人辅助胸腔手术：我们的初次体验]。

我们的目标是研究美国国立肿瘤研究所首批 300 例胸部机器人手术的术后指标。我们对前 300 例患者的临床病理和术后指标进行了回顾性分析。我们还将一位外科医生实施的前 30 例手术与他的 30 例 VATS（视频辅助胸腔手术）和开腹手术进行了比较。平均住院时间为 5.2 天，胸管在第二天拔除。转归、再次手术需求和发病率都很低（分别为 1.8%、2% 和 10.6%）。20 例手术后，手术时间的变化减慢。RATS（机器人辅助胸腔镜手术）的住院时间和并发症略优于 VATS。然而，RATS手术的重症监护时间明显更短，而切除的淋巴结数量明显更多。总之，RATS 是一种安全的胸腔手术技术。此外，RATS 能切除更多的淋巴结，从而更好地进行分期。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Magyar onkologia

自引率

0.00%

发文量