[Robotic and thoracoscopic surgeries for anterior mediastinal neoplasms].

Q4 Medicine

Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia20250216

Z A Bagatelia, V D Parshin, D N Grekov, E M Glotov, V N Yakomaskin, S S Lebedev, A K Chekini, E A Chetverikova

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Abstract

Objective: To evaluate the efficacy and safety of robot-assisted (RATS) and video-assisted thoracoscopic (VTS) minimally invasive surgeries for anterior mediastinal neoplasms.

Material and methods: The study involved 74 patients who underwent surgeries for anterior mediastinal neoplasms between 2020 and 2023. Patients were divided into two groups: group 1 (RATS, 33 patients) and group 2 (VTS, 41 patients). The following parameters were evaluated: surgery time, incidence of postoperative complications, pain syndrome and recovery time.

Results: Duration of RATS was significantly shorter (mean 120 min) compared to VTS (140 min) (p< 0.05). Postoperative pain was also lower in the RATS group (4.5 vs. 6.0 points) (p< 0.05). The incidence of complications was lower in the same group that contributed to earlier recovery.

Conclusion: Robot-assisted surgeries are preferable for anterior mediastinal tumors. The advantages of RATS include shorter surgery time, lower pain and complication rate. Thus, this approach is more advisable in high-risk patients.

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前纵隔肿瘤的机器人胸腔镜手术。

目的：评价机器人辅助（RATS）和视频辅助胸腔镜（VTS）微创手术治疗前纵隔肿瘤的疗效和安全性。材料和方法：该研究涉及74名在2020年至2023年间接受前纵隔肿瘤手术的患者。患者分为两组：1组（RATS， 33例）和2组（VTS， 41例）。评估以下参数：手术时间、术后并发症发生率、疼痛综合征和恢复时间。结果：大鼠持续时间（平均120 min）明显短于VTS (140 min) （p< 0.05）。大鼠组术后疼痛也较低（4.5分比6.0分）（p< 0.05）。在同一组中，并发症的发生率较低，有助于早期恢复。结论：机器人辅助手术治疗前纵隔肿瘤较理想。RATS的优点是手术时间短，疼痛和并发症发生率低。因此，这种方法更适合高危患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень