机器人与胸腔镜袖式肺叶切除术治疗非小细胞肺癌的比较研究

Comparison study of robotic and thoracoscopic sleeve lobectomy in treating non-small cell lung cancer

目的:评估机器人袖式肺叶切除术的安全性和有效性。方法:回顾性收集2015年9月~2020年10月于浙江大学医学院附属第一医院接受机器人和胸腔镜袖式肺叶切除术的22例非小细胞肺癌患者的临床资料。根据手术方式将患者分为机器人组和胸腔镜组,其中机器人组8例(男7例,女1例),平均年龄(65.9±5.4)岁;胸腔镜组14例(男14例,女0例),平均年龄(63.5±9.5)岁。对两组患者进行基线特征比较,并评价两组患者围手术期资料。结果:对两组患者进行基线特征比较,发现组间年龄、性别、吸烟史等因素无统计学差异。与胸腔镜组相比,机器人组患者的淋巴清扫站数更多(P=0.025),但住院总费用更高(P<0.001)。结论:机器人袖式肺叶切除术具有不亚于胸腔镜手术的安全性,且能清扫更多淋巴结站数。

Objective:To investigate the safety and efficiency of robotic sleeve lobectomy.Methods:The clinical data of 22 patients with early-stage non-small cell lung cancer who underwent robotic or thoracoscopic sleeve lobectomy in the First Affiliated Hospital to Zhejiang University School of Medicine from September 2015 to October 2020 were retrospectively collected.Patients were divided into two groups according to different surgical approaches.8 patients in the robotic group,including 7 males and 1 female,with an average age of(65.9±5.4)years old.14 patients in the thoracoscopic group,including 14 males and 0 female,with an average age of(63.5±9.5)years old.The baseline characteristics of patients in the two groups were compared,and the perioperative outcomes of the two groups were evaluated.Results:Factors such as age,gender and smoking history were not statistically different between the two groups.Compared with the thoracoscopic group,the robotic group had more lymph stations dissected(P=0.025)and higher hospitalization cost(P<0.001).Conclusion:Robotic sleeve lobectomy has similar safety to thoracoscopic surgery,but robotic sleeve lobectomy can do better than thoracoscopic surgery in lymph node station dissection.