Robotic Surgery for Bronchial Sleeve Lobectomy: A Systematic Review and Bayesian Network Meta-Analysis.

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2026-06-01 DOI:10.1002/rcs.70181

Chen Wang, Liyan Qiao, Yiming Xu, Xuyang Li, Lingdong Qiu

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引用次数: 0

Abstract

Background: To investigate the effect of Robotic Assisted Thoracoscopic Surgery (RATS) in comparison to Video Assisted Thoracoscopic Surgery (VATS) and Open Thoracotomy (OP) in bronchial sleeve lobectomy (BSL) by Bayesian network meta-analysis.

Methods: After searching Pubmed, the Cochrane Library and Embase for research, 7 papers with 776 individuals with central non-small cell lung cancer that required BSL were found. Data for analysis entailed intraoperative outcomes, complications, and long-term survival.

Results: The RATS group exhibited a shorter operation time, diminished intraoperative blood loss, and reduced postoperative drainage time without an elevation in the frequency of postoperative complications; in Additionally, the RATS group demonstrated an equivalent postoperative long-term survival rate when juxtaposed with the VATS and OP groups.

Conclusions: Compared with VATS and OP in BSL, RATS has a better intraoperative application effect, less surgical impact and the same long-term survival rate. RATS has emerged as a viable and potentially favoured surgical approach for BSL.

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支气管袖状肺叶切除术的机器人手术：系统综述和贝叶斯网络meta分析。

背景：通过贝叶斯网络meta分析，探讨机器人辅助胸腔镜手术（RATS）与视频辅助胸腔镜手术（VATS）和开胸手术（OP）在支气管袖状肺叶切除术（BSL）中的效果。方法：检索Pubmed、Cochrane Library、Embase等文献，共找到7篇需要行BSL治疗的中枢性非小细胞肺癌患者，共776例。用于分析的数据包括术中结果、并发症和长期生存。结果：大鼠组手术时间缩短，术中出血量减少，术后引流时间缩短，术后并发症发生率未升高；此外，与VATS和OP组相比，RATS组显示出相同的术后长期生存率。结论：与BSL的VATS和OP相比，RATS术中应用效果更好，手术影响更小，长期生存率相同。RATS已成为BSL的可行且潜在的手术入路。

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

The international journal of medical robotics + computer assisted surgery : MRCAS

CiteScore

5.30

自引率

0.00%

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