Impact of da Vinci Xi robot in pulmonary resection

摘要: Background This study sought to evaluate the impact of a da Vinci Xi surgical robot on perioperative outcomes after pulmonary resections. Methods A retrospective analysis prospectively collected STS data was performed at single institution for patients who underwent elective lung resections from 2012 2019. Patient were compared three different time periods: before adoption technology (predominately VATS), during initial experience (the first 18 months), and mature second months). Univariate multivariate logistic regression modeling determine factors associated with complications. Results Five hundred four resection between 220 (43.7%) had surgery prior use 126 (25%) robot, 158 (31.1%) experience. There significantly less post-operative complications (15.2% vs. 34.9% 39.1%, P<0.001), shorter median length stay (2 3 4 days, lower hospital readmission rates (1.9% 4% 11.8%, P<0.001) in period predominately VATS period, respectively. Multivariate showed that decrease (OR 0.36; 95% CI, 0.23-0.57, P<0.001). Conclusions The our improved having