Z A Bagatelia, V D Parshin, D N Grekov, E M Glotov, V N Yakomaskin, S S Lebedev, A K Chekini, E A Chetverikova
{"title":"[Robotic and thoracoscopic surgeries for anterior mediastinal neoplasms].","authors":"Z A Bagatelia, V D Parshin, D N Grekov, E M Glotov, V N Yakomaskin, S S Lebedev, A K Chekini, E A Chetverikova","doi":"10.17116/hirurgia20250216","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and safety of robot-assisted (RATS) and video-assisted thoracoscopic (VTS) minimally invasive surgeries for anterior mediastinal neoplasms.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>Duration of RATS was significantly shorter (mean 120 min) compared to VTS (140 min) (<i>p</i>< 0.05). Postoperative pain was also lower in the RATS group (4.5 vs. 6.0 points) (<i>p</i>< 0.05). The incidence of complications was lower in the same group that contributed to earlier recovery.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"6-12"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia20250216","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
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.