机器人与胸腔镜楔形支气管成形肺叶切除术治疗非小细胞肺癌的短期疗效比较

Comparison of the short-term efficacy of robotic and thoracoscopic wedge bronchoplastic lobectomy in the treatment of non-small cell lung cancer

目的比较机器人楔形支气管成形肺叶切除术和胸腔镜楔形支气管成形肺叶切除术在治疗非小细胞肺癌中的短期疗效。方法回顾性分析了2014年2月至2021年7月于青岛大学附属医院胸外科行达芬奇机器人和胸腔镜楔形支气管成形肺叶切除术的76例患者的临床资料,比较两组的基线资料、手术时间、术中出血量、清扫淋巴结总个数、清扫淋巴结总站数及N2站数、术后引流管带管时间、术后住院天数、术后并发症发生率等。结果机器人组的清扫淋巴结总站数及清扫淋巴结N2站数较胸腔镜组多,差异有统计学意义(P<0.05),手术时间和术后带管时间更短,差异有统计学意义(P<0.05),两组在术中出血量、淋巴结清扫总个数、术后住院时间、术后并发症发生率上差异无统计学意义(P>0.05)。结论机器人楔形支气管成形肺叶切除术是一种安全、有效的术式,且淋巴结总站数及N2站清扫更彻底,手术时间和带管时间更短,值得推广应用。

Objective To compare the short-term efficacy of robotic wedge bronchoplastic lobectomy and thoracoscopic wedge bronchoplastic lobectomy in the treatment of non-small cell lung cancer.Methods The clinical data of 76 patients who underwent robotic and thoracoscopic wedge bronchoplastic lobectomy in the Affiliated Hospital of Qingdao University from February 2014 to July 2021 were analyzed retrospectively.The baseline data,operation time,intraoperative blood loss,total number of lymph node dissection,total number of lymph node dissection stations and N2 stations,postoperative duration of drainage,length of stay,and incidence of postoperative complications were compared between the two groups.Results The total numbers of lymph node dissection stations and lymph node dissection at N2 stations in the robotic group were more than those in the thoracoscopic group significantly(P<0.05).The operation time and postoperative length of drainage in robotic group were shorter than those in the thracoscopic group significantly(P<0.05).There was no statistically significant difference between the two groups in terms of intraoperative blood loss,the total number of lymph node dissections,postoperative length of hospital stay and incidence of postoperative complications(P>0.05).Conclusions Robotic wedge bronchoplastic lobectomy is a safe and effective surgical method,with more lymph nodes dissection stations,shorter operation time and postoperative duration of drainage compared with thoracoscopic wedge bronchoplastic lobectomy,which is worthy of promotion.