Robotic-assisted versus open resection of pulmonary sequestration: a retrospective cohort study. RATS surgery for pulmonary sequestration.

IF 1.3 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

General Thoracic and Cardiovascular Surgery Pub Date : 2025-06-24 DOI:10.1007/s11748-025-02172-9

Henrike Deissner, Alessio Campisi, Raffaella Griffo, Benedikt Niedermaier, Thomas Muley, Michael Allgäuer, Hauke Winter, Martin E Eichhorn

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引用次数: 0

Abstract

Background: Pulmonary sequestration (PS) is a rare congenital lung malformation often requiring surgical resection due to recurrent infections or hemoptysis. Traditionally treated via open thoracotomy, recent advancements have made minimal-invasive approaches like robotic-assisted thoracoscopic surgery (RATS) increasingly viable. This study compares outcomes between RATS and open resection for PS in a high-volume center.

Methods: In this retrospective cohort study, 23 adult patients who underwent surgical resection of PS between 2010 and 2023 were analyzed. Fifteen patients were treated via open thoracotomy (THKT), while eight underwent RATS using the DaVinci-X system. We compared preoperative findings, intraoperative variables, and postoperative outcomes.

Results: The patients in the RATS group were younger (median age: 36 vs 47 years) and had a shorter median hospital stay (5 vs 10 days, p < 0.001) compared to the THKT group. The RATS group also experienced earlier chest drainage removal (3 vs. 4 days, p = 0.016). However, the median duration of surgery was longer for RATS (118 vs. 75 min, p = 0.018). A trend towards less postoperative complications was observed in the RATS group (33% vs. 0%).

Conclusions: RATS provides a safe and effective alternative to open surgery for PS resection, with benefits including reduced hospital stay and earlier chest tube removal. Despite longer operative times, the minimally invasive approach may offer enhanced recovery and fewer complications. Continued accumulation of experience with RATS is likely to improve operative efficiency, making it a valuable option in the surgical management of pulmonary malformations.

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机器人辅助与开放式肺隔离切除术：一项回顾性队列研究。肺隔离的RATS手术。

背景：肺隔离（PS）是一种罕见的先天性肺畸形，常因反复感染或咯血而需要手术切除。传统上通过开胸治疗，最近的进步使得微创方法如机器人辅助胸腔镜手术（RATS）越来越可行。本研究比较了大容量中心大鼠与开放切除治疗PS的结果。方法：在这项回顾性队列研究中，分析了2010年至2023年接受手术切除PS的23例成人患者。15例患者通过开胸术（THKT）治疗，8例患者使用davincii - x系统进行RATS治疗。我们比较了术前发现、术中变量和术后结果。结果：大鼠组患者更年轻（中位年龄：36 vs 47岁），中位住院时间更短（5 vs 10天）。结论：大鼠组提供了一种安全有效的替代开放手术进行PS切除术的方法，其优点包括缩短住院时间和更早拔除胸管。尽管手术时间较长，但微创入路可提高恢复和减少并发症。RATS的持续经验积累可能会提高手术效率，使其成为肺部畸形手术治疗的一个有价值的选择。

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

General Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

2.70

自引率

8.30%

发文量

142

期刊介绍： The General Thoracic and Cardiovascular Surgery is the official publication of The Japanese Association for Thoracic Surgery and The Japanese Association for Chest Surgery, the affiliated journal of The Japanese Society for Cardiovascular Surgery, that publishes clinical and experimental studies in fields related to thoracic and cardiovascular surgery.