Xingshi Chen

Early outcomes of robotic versus uniportal video-assisted thoracic surgery for lung cancer: a propensity score-matched study

OBJECTIVES Both robotic-assisted thoracic surgery (RATS) and uniportal video-assisted thoracic surgery (UVATS) are minimally invasive surgical techniques used for treatment of lung cancer. However, no research studies comparing early outcomes between RATS and UVATS have been reported. METHODS Non-small-cell lung cancer patients treated with RATS or UVATS at our institution from January 2015 to September 2016 were enrolled. Early outcomes were compared after propensity score-matched analysis using 4 factors: age, gender, tumour size and operative procedure. RESULTS A total of 153 patients were included in this study: 76 patients underwent RATS and 77 patients underwent UVATS. After propensity score-matched analysis, each group included 69 cases. The comparison of the 2 groups showed that there were no significant differences in operative time, postoperative hospital stay, chest tube duration, analgesic usage, complications or the number of resected lymph nodes. However, RATS caused less intraoperative blood loss (P = 0.037) and more dissected lymph node stations (P = 0.014). CONCLUSIONS Judging from the short-term outcomes, both RATS and UVATS are safe and feasible for non-small-cell lung cancer treatment. In particular, RATS is better able to reduce bleeding and complete lymphadenectomy than UVATS.

Ruijin robotic thoracic surgery: right S 6 segmentectomy

We are going to share the experience of robotic-assisted thoracoscopic segmentectomy. A 55-year-old patient underwent robotic-assisted thoracic surgery for a nodule in the right segment 6. The patient was discharged on postoperative day 3 without any perioperative complications. This case showed the robotic-assisted technique is a safe approach for lung segmentectomy.

Robot-assisted surgery for posterior superior mediastinal mass

We are going to share the experience of robotic surgery for mediastinal mass. A 40-year-old patient underwent robotic-assisted thoracic surgery for a posterior superior mediastinal mass. The patient was discharged on postoperative day 2 without any perioperative complications. The pathological diagnosis was mediastinal neurofibroma. Our result showed the robotic thoracic surgery of the posterior superior mediastinal mass was efficient and reliable.

Robotic thoracic surgery: S 1+2 segmentectomy of left upper lobe

We are going to share the experience of robotic surgery for lung segmentectomy. A 50-year-old patient underwent robotic-assisted thoracoscopic surgery for a ground glass opacity (GGO) in the S 1+2 segment of left upper lobe. The patient was discharged on postoperative day 3 without any perioperative complications. The pathological stage was T1aN0M0 (stage IA). Our result showed the robotic approach was feasible and reliable for lung segmentectomy.

Robotic-assisted thoracoscopic surgery: right inferior lobectomy

Robotic-assisted surgery is now well established and has been introduced into the field of thoracic surgery. We are going to share the experience of robotic surgery for right inferior lobectomy. A 61-year-old patient underwent robotic-assisted thoracic surgery for a primary lung adenocarcinoma. The patient was discharged on postoperative day 6 without any perioperative complications. The pathological stage was T1aN0M0 (stage IA). Our result showed the robotic-assisted thoracoscopic surgery was a safe and feasible surgical approach for non-small cell lung cancer (NSCLC).

Robotic thoracic surgery: left inferior lobectomy

Robotic-assisted surgery is now well established and has been introduced into the field of thoracic surgery. We are going to share the experience of robotic surgery for left inferior lobectomy. A 44-year-old patient was underwent robotic-assisted thoracic surgery for a pulmonary nodule. The patient was discharged on postoperative day 3 without any perioperative complications. The pathological stage was T1aN0M0 (stage IA). Our result showed the robotic-assisted thoracoscopic surgery was a safe and feasible surgical approach for lobectomy.

Robot-Assisted Right Middle Lobectomy

Da Vinci surgical system has been widely used in thoracic surgery as a new technique. We are going to share the experience of robotic surgery for right middle lobectomy. A 48-year-old patient with a ground-glass opacity (GGO) underwent robotic-assisted right middle lobectomy in our center. The patient was discharged on postoperative day 4 without any perioperative complications. The pathological stage was T1aN0M0 (stage IA).