2023 World Conference on Lung Cancer (Posters)-EP14.03. The Impact of Expanded Indication of Robot-Assisted Thoracic Surgery for Mediastinal Tumors

EP14.03. The Impact of Expanded Indication of Robot-Assisted Thoracic Surgery for Mediastinal Tumors - PDF(Slides)

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The study investigates the impact of expanding the indication of robot-assisted thoracic surgery (RATS) for mediastinal tumor surgery. The researchers examined surgery for mediastinal tumors in their institute after RATS was covered by the national health insurance system in Japan. A total of 209 patients who underwent complete resection for mediastinal tumors between 2018 and 2022 were included in the study.<br /><br />The results showed that there was a significant increase in the use of RATS in the second half of the target period compared to the first half. Patients who underwent RATS had reduced intraoperative blood loss, shorter postoperative drain duration, and decreased hospitalization time compared to patients who underwent other surgical approaches. The expansion of RATS indications also resulted in an increase in the number of cases with larger tumors and cases requiring bilateral approaches for thymoma with myasthenia gravis.<br /><br />The findings suggest that the recent expansion of indications for RATS in mediastinal tumor surgery has improved short-term outcomes. However, the study highlights the need for further evaluation of the long-term benefits and safety of RATS in mediastinal tumor resection.<br /><br />The researchers conclude that the expansion of indications for RATS should be considered in the future, taking into account safety and medium- to long-term outcomes. They emphasize the importance of continued research and experience to refine the selection criteria for RATS in thoracic surgery and further expand its use.<br /><br />In summary, the study demonstrates that the expansion of indications for robot-assisted thoracic surgery has had a positive impact on short-term outcomes in mediastinal tumor surgery. The findings support the use of RATS for larger tumors and complex cases and suggest the potential for further expansion of its indications in the future.

Asset Subtitle

Taketo Kato

Meta Tag

Speaker Taketo Kato

Topic Other Thoracic Malignancy

Keywords

robot-assisted thoracic surgery

mediastinal tumor surgery

impact

expanding indication

national health insurance system

Japan

complete resection

intraoperative blood loss

postoperative drain duration

hospitalization time