文献类型：期刊文献

英文题名：Comparison of clinical efficacy of da Vinci robot-assisted lung cancer surgery with two-, three- and four-hole approaches

作者：Hong, Ziqiang[1,2];Ren, Meiyu[3];Sheng, Yannan[1];Lu, Yingjie[1];Bai, Xiangdou[1,2];Cui, Baiqiang[1,2];Wu, Xusheng[1,2];Cheng, Tao[1,2];Jin, Dacheng[2];Gou, Yunjiu[2]

第一作者：Hong, Ziqiang

通信作者：Gou, YJ[1]

机构：[1]Gansu Univ Chinese Med, Gansu Prov Hosp, Clin Med Coll 1, Lanzhou 730000, Peoples R China;[2]Gansu Prov Hosp, Dept Thorac Surg, Lanzhou 730000, Peoples R China;[3]Lanzhou Univ, Dept Thorac Surg, Second Hosp, Lanzhou 730000, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Thorac Surg, Lanzhou 730000, Peoples R China.

年份：2024

卷号：76

期号：2

起止页码：623

外文期刊名：UPDATES IN SURGERY

收录：;Scopus(收录号：2-s2.0-85174206918);WOS:【SCI-EXPANDED(收录号:WOS:001082350200001)】；

基金：This work was supported by Gansu Province Key R&D Program (2022YF7FA095).

语种：英文

外文关键词：Robotic-assisted thoracoscopic surgery; Hole; Non-small cell lung cancer; Short-term effect

摘要：Orifice reduction strategies for da Vinci robotic surgery have been a hot topic of research in recent years. We retrospectively analyzed the perioperative outcomes of robotic-assisted thoracoscopic surgery (RATS) with two, three, and four-hole approaches in radical lung cancer surgery. Our results revealed that the two-hole group has advantages in terms of operative time, postoperative 3-day drainage, postoperative drainage time, postoperative hospital stay and postoperative day 3 visual analogue scale (VAS) pain scores. There were no significant differences between the three groups in terms of intraoperative bleeding, number of lymph nodes dissected, VAS pain scores on postoperative days 1 and 2, and postoperative complications. In addition, the two-hole group was superior to the three-hole and four-hole groups in terms of C-reactive protein (CRP), procalcitonin (PCT) and interleukin 10 (IL-10). In summary, the RATS two-hole approach has advantages in operation time, rapid recovery after operation and some postoperative inflammatory indicators, and is worth promoting in hospitals that are skilled in three-hole and four-hole da Vinci robot surgery and have conditions.