Comparison of pulmonary function tests and perioperative outcomes after robotic-assisted pulmonary lobectomy vs segmentectomy.

作者: Maria F. Echavarria , Anna M. Cheng , Frank O. Velez-Cubian , Emily P. Ng , Carla C. Moodie

DOI: 10.1016/J.AMJSURG.2016.09.017

关键词:

摘要: Abstract Background Lobectomy is standard treatment for early-stage lung cancer, but sublobar resection remains debated. We compared outcomes after robotic-assisted video-assisted thoracoscopic (R-VATS) segmentectomy vs lobectomy. Methods retrospectively analyzed data from 251 consecutive patients who underwent R-VATS lobectomy (n = 208) or 43) by a single surgeon over 36 months. Pulmonary function tests and perioperative were using Chi-squared test, unpaired Student t Kruskal–Wallis with significance at P ≤ .05. Results Intraoperative complications not significantly different, median operative times longer segmentectomies ( .032) of effusions empyema .011) segmentectomies. Predicted changes forced expiratory volume in 1 second diffusion constant the carbon monoxide are less Conclusions should be considered as an alternative to conserving respiratory-compromised cancer patients, although oncologic efficacy undetermined.

参考文章(9)
Hyun-Sung Lee, Hee-Jin Jang, Robotic Surgery in General Thoracic Surgery Springer, Tokyo. pp. 121- 143 ,(2014) , 10.1007/978-4-431-54853-9_11
Bernard J. Park, Raja M. Flores, Valerie W. Rusch, Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 131, pp. 54- 59 ,(2006) , 10.1016/J.JTCVS.2005.07.031
Philip A. Linden, Raphael Bueno, Yolonda L. Colson, Michael T. Jaklitsch, Jeanne Lukanich, Steven Mentzer, David J. Sugarbaker, Lung resection in patients with preoperative FEV1 < 35% predicted. Chest. ,vol. 127, pp. 1984- 1990 ,(2005) , 10.1378/CHEST.127.6.1984
Hajime Saito, Taku Nakagawa, Manabu Ito, Kazuhiro Imai, Takashi Ono, Yoshihiro Minamiya, Pulmonary Function After Lobectomy Versus Segmentectomy in Patients with Stage I Non-Small Cell Lung Cancer World Journal of Surgery. ,vol. 38, pp. 2025- 2031 ,(2014) , 10.1007/S00268-014-2521-3
Florian Augustin, Johannes Bodner, Herbert Maier, Christoph Schwinghammer, Burkhard Pichler, Paolo Lucciarini, Johann Pratschke, Thomas Schmid, Robotic-assisted minimally invasive vs. thoracoscopic lung lobectomy: comparison of perioperative results in a learning curve setting Langenbeck's Archives of Surgery. ,vol. 398, pp. 895- 901 ,(2013) , 10.1007/S00423-013-1090-5
Chi-Fu Jeffrey Yang, Thomas A. D'Amico, Thoracoscopic segmentectomy for lung cancer. The Annals of Thoracic Surgery. ,vol. 94, pp. 668- 681 ,(2012) , 10.1016/J.ATHORACSUR.2012.03.080
Mark Shapiro, Todd S. Weiser, Juan P. Wisnivesky, Cynthia Chin, Michael Arustamyan, Scott J. Swanson, Thoracoscopic segmentectomy compares favorably with thoracoscopic lobectomy for patients with small stage I lung cancer. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 137, pp. 1388- 1393 ,(2009) , 10.1016/J.JTCVS.2009.02.009
Bo Deng, Stephen D. Cassivi, Mariza de Andrade, Francis C. Nichols, Victor F. Trastek, Yi Wang, Jason A. Wampfler, Shawn M. Stoddard, Dennis A. Wigle, Robert K. Shen, Mark S. Allen, Claude Deschamps, Ping Yang, Clinical outcomes and changes in lung function after segmentectomy versus lobectomy for lung cancer cases. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 148, pp. 1186- 1192 ,(2014) , 10.1016/J.JTCVS.2014.03.019
Kentaro Yoshimoto, Hiroaki Nomori, Takeshi Mori, Yasuomi Ohba, Kenji Shiraishi, Kuniyuki Tashiro, Shinya Shiraishi, Postoperative change in pulmonary function of the ipsilateral preserved lung after segmentectomy versus lobectomy European Journal of Cardio-Thoracic Surgery. ,vol. 37, pp. 36- 39 ,(2010) , 10.1016/J.EJCTS.2009.07.002