Robot-assisted surgery outperforms video-assisted thoracoscopic surgery for anterior mediastinal disease: a multi-institutional study
Journal of Robotic Surgery,
Год журнала:
2024,
Номер
18(1)
Опубликована: Янв. 13, 2024
Язык: Английский
Initial Multi-Institutional Experience of Subxiphoid Robotic Thymectomy Using the Single-Port Robotic System
Опубликована: Июль 12, 2024
We
previously
reported
our
initial
experience
of
subxiphoid
single-port
robotic-assisted
thoracic
surgery
(SRATS)
thymectomy
using
the
robotic
surgical
system
(SPS).
However,
potential
benefits
this
technique
remain
unknown.
Thus,
study
examined
multi-institutional
SRATS
and
compared
perioperative
outcomes
with
those
video-assisted
(SVATS)
thymectomy.
Data
patients
who
underwent
SVATS
performed
by
three
surgeons
at
institutions
between
September
2018
May
2024
were
retrospectively
collected.
In
total,
110
included,
85
25
undergoing
thymectomy,
respectively.
No
significant
differences
noted
in
total
operative
time
(154.46±74.06
vs.
146.76±67.07
min,
P=0.674)
conversion
rate
to
median
sternotomy
(0%
4
%,
P=0.227)
two
groups.
The
group
was
associated
a
lower
multi-port
(2%
20%,
P=0.006),
shorter
chest
tube
drainage
duration
(1.40±0.94
2.00±1.29
days,
P=0.001),
postoperative
hospital
stay
(2.87±1.26
5.08±5.20
P=0.007).
Subxiphoid
SPS
is
feasible
can
be
good
alternative
conventional
minimally
invasive
Further
large-scale
randomized
controlled
studies
are
needed
confirm
its
benefits.
Язык: Английский
Short-term outcomes of robotic subxiphoid-optical thymectomy
Surgery Today,
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 24, 2024
Язык: Английский
Subxiphoid Single-Port Robotic Thymectomy Using the Single-Port Robotic System versus VATS: A Multi-Institutional, Retrospective, and Propensity Score-Matched Study
Cancers,
Год журнала:
2024,
Номер
16(16), С. 2856 - 2856
Опубликована: Авг. 15, 2024
Subxiphoid
thymectomy
is
a
novel
alternative
to
the
transthoracic
approach
and
sternotomy,
with
potential
benefits,
such
as
reduced
postoperative
pain
faster
recovery.
We
previously
reported
initial
experience
subxiphoid
single-port
robotic-assisted
thoracic
surgery
(SRATS)
using
robotic
system
(SPS).
However,
efficacy
of
this
technique
remains
unknown.
Thus,
study
examined
multi-institutional
SRATS
compared
perioperative
outcomes
those
video-assisted
(SVATS)
thymectomy.
The
data
patients
who
underwent
SVATS
thymectomy,
performed
by
three
surgeons
at
institutions
between
September
2018
May
2024,
were
retrospectively
collected.
In
total,
110
included,
85
25
undergoing
respectively.
After
propensity
score
matching,
included
in
each
group.
group
was
associated
lower
conversion
rate
multi-port
(0%
vs.
20%,
p
=
0.05),
shorter
chest
tube
drainage
duration
(1.32
±
0.75
2.00
1.29
days,
0.003),
hospital
stay
(2.52
1.00
5.08
5.20
0.003).
SPS
feasible
good
conventional
Further
studies
are
necessary
confirm
its
benefits.
Язык: Английский
Effect of Ultrasound‐Guided External Oblique Intercostal Block on Postoperative Recovery After Subxiphoid Video‐Assisted Thoracoscopic Thymectomy
Journal of Ultrasound in Medicine,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 3, 2024
Objective
Severe
postoperative
pain
can
occur
after
subxiphoid
video‐assisted
thoracoscopic
thymectomy
(SVATT),
affecting
the
quality
of
recovery.
This
study
aimed
to
evaluate
effect
ultrasound‐guided
external
oblique
intercostal
(EOI)
block
on
recovery
SVATT.
Methods
A
total
60
patients
undergoing
SVATT
were
randomly
divided
into
EOI
group
(group
E,
n
=
30)
and
control
C,
30).
Group
E
underwent
bilateral
at
6th
rib
level
was
injected
20
mL
0.375%
ropivacaine
each
side.
C
with
0.9%
saline
same
site.
After
operation,
both
groups
received
a
patient‐controlled
intravenous
analgesic
(PCIA)
pump.
The
15‐item
Quality
Recovery
(QoR‐15)
scores
recorded
24
hours
before
surgery
(T0),
(T3),
48
(T4).
sufentanil
usage
in
first
postoperatively,
remifentanil
dosage
during
surgery,
time
pressing
PCIA,
cases
rescue
analgesia
recorded.
visual
analog
scale
(VAS)
6
(T1),
12
(T2),
(T4)
an
operation
rest
coughing
dermatomes
sensory
plane,
complications
incidence
other
adverse
reactions
also
Results
Compared
QoR‐15
significantly
higher
T3
T4
E.
VAS
lower
T1,
T2,
PCIA
increased
(all
P
<
.05).
Conclusion
Ultrasound‐guided
be
safely
used
SVATT,
which
improve
reduce
pain.
Язык: Английский