Celal Buğra Sezen, Melike Ülker, Oğuzhan Bayraktar, Dilekhan Kizir, Mustafa Vedat Doğru, Cemal Aker, Özkan Saydam, Muzaffer Metin
{"title":"多关节腕式器械与单门静脉肺癌手术技术在剑突下肺癌手术中的比较:早期疗效评价。","authors":"Celal Buğra Sezen, Melike Ülker, Oğuzhan Bayraktar, Dilekhan Kizir, Mustafa Vedat Doğru, Cemal Aker, Özkan Saydam, Muzaffer Metin","doi":"10.1089/lap.2024.0378","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b> This study aims to compare the early outcomes of the surgeon-powered robotic uniportal subxiphoid resection technique with conventional uniportal techniques. <b><i>Methods:</i></b> A retrospective analysis was conducted on patients operated on for lung cancer between January 2022 and December 2023, comparing those who underwent uniportal lung resection with those who received the uniportal subxiphoid surgical technique. <b><i>Results:</i></b> Out of 90 patients in the study, 31 underwent subxiphoid resection while 59 underwent the uniportal surgical technique. When comparing the average lengths of hospital stay, the subxiphoid group had an average stay of 3.8 ± 1.2 days while the uniportal surgery group had an average stay of 4.8 ± 1.9 days (<i>P</i> = .004). At the 1-hour postoperative evaluation, the visual analog scale score for the subxiphoid group averaged 2.2 ± 1, while the uniportal surgery group averaged 3.2 ± 1.6 (<i>P</i> = .002). Complications were observed in four patients (12.9%) in the subxiphoid group and eight patients (13.5%) in the uniportal surgery group (<i>P</i> = .927). <b><i>Conclusion</i></b>: Uniportal subxiphoid video-assisted thoracoscopic surgery resections are safe and provide advantages such as less postoperative pain and shorter hospital stays for patients.</p>","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":"35 5","pages":"394-400"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of Uniportal Subxiphoid Lung Cancer Surgery Using Multi-Joint Wristed Instruments and Uniportal Lung Cancer Surgery Technique: Evaluation of Early Outcomes.\",\"authors\":\"Celal Buğra Sezen, Melike Ülker, Oğuzhan Bayraktar, Dilekhan Kizir, Mustafa Vedat Doğru, Cemal Aker, Özkan Saydam, Muzaffer Metin\",\"doi\":\"10.1089/lap.2024.0378\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Background:</i></b> This study aims to compare the early outcomes of the surgeon-powered robotic uniportal subxiphoid resection technique with conventional uniportal techniques. <b><i>Methods:</i></b> A retrospective analysis was conducted on patients operated on for lung cancer between January 2022 and December 2023, comparing those who underwent uniportal lung resection with those who received the uniportal subxiphoid surgical technique. <b><i>Results:</i></b> Out of 90 patients in the study, 31 underwent subxiphoid resection while 59 underwent the uniportal surgical technique. When comparing the average lengths of hospital stay, the subxiphoid group had an average stay of 3.8 ± 1.2 days while the uniportal surgery group had an average stay of 4.8 ± 1.9 days (<i>P</i> = .004). At the 1-hour postoperative evaluation, the visual analog scale score for the subxiphoid group averaged 2.2 ± 1, while the uniportal surgery group averaged 3.2 ± 1.6 (<i>P</i> = .002). Complications were observed in four patients (12.9%) in the subxiphoid group and eight patients (13.5%) in the uniportal surgery group (<i>P</i> = .927). <b><i>Conclusion</i></b>: Uniportal subxiphoid video-assisted thoracoscopic surgery resections are safe and provide advantages such as less postoperative pain and shorter hospital stays for patients.</p>\",\"PeriodicalId\":50166,\"journal\":{\"name\":\"Journal of Laparoendoscopic & Advanced Surgical Techniques\",\"volume\":\"35 5\",\"pages\":\"394-400\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Laparoendoscopic & Advanced Surgical Techniques\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1089/lap.2024.0378\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laparoendoscopic & Advanced Surgical Techniques","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/lap.2024.0378","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Comparison of Uniportal Subxiphoid Lung Cancer Surgery Using Multi-Joint Wristed Instruments and Uniportal Lung Cancer Surgery Technique: Evaluation of Early Outcomes.
Background: This study aims to compare the early outcomes of the surgeon-powered robotic uniportal subxiphoid resection technique with conventional uniportal techniques. Methods: A retrospective analysis was conducted on patients operated on for lung cancer between January 2022 and December 2023, comparing those who underwent uniportal lung resection with those who received the uniportal subxiphoid surgical technique. Results: Out of 90 patients in the study, 31 underwent subxiphoid resection while 59 underwent the uniportal surgical technique. When comparing the average lengths of hospital stay, the subxiphoid group had an average stay of 3.8 ± 1.2 days while the uniportal surgery group had an average stay of 4.8 ± 1.9 days (P = .004). At the 1-hour postoperative evaluation, the visual analog scale score for the subxiphoid group averaged 2.2 ± 1, while the uniportal surgery group averaged 3.2 ± 1.6 (P = .002). Complications were observed in four patients (12.9%) in the subxiphoid group and eight patients (13.5%) in the uniportal surgery group (P = .927). Conclusion: Uniportal subxiphoid video-assisted thoracoscopic surgery resections are safe and provide advantages such as less postoperative pain and shorter hospital stays for patients.
期刊介绍:
Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.