2023 World Conference on Lung Cancer (Posters)-P1.26. Retrospective Comparison of Robotic- and Video-assisted Thoracic Surgery after Neoadjuvant Therapy for Non-small Cell Lung Cancer

P1.26. Retrospective Comparison of Robotic- and Video-assisted Thoracic Surgery after Neoadjuvant Therapy for Non-small Cell Lung Cancer - PDF(Abstract)

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This study aimed to compare the outcomes of robotic-assisted thoracic surgery (RATS) and video-assisted thoracic surgery (VATS) after neoadjuvant therapy for non-small cell lung cancer (NSCLC). The study included 40 patients who underwent RATS and 45 patients who underwent VATS. The data collected included demographic information, neoadjuvant therapy details, surgery time, completeness of resection, estimated blood loss, conversion to thoracotomy, postoperative complications, chest drainage time, and hospital stay.<br /><br />The results showed no significant differences between RATS and VATS in terms of R0 resection rate, operation time, estimated blood loss, and incidence of postoperative complications. The conversion rate to thoracotomy was numerically lower in RATS, but this difference was not statistically significant. The learning curve analysis of the initial 100 RATS cases showed that the mean operative time peaked at the 15th case and gradually decreased afterward.<br /><br />Based on these findings, the study concluded that RATS is comparable to VATS in achieving radical resection after neoadjuvant therapy for NSCLC. RATS may offer advantages such as accessibility and a potential reduction in the frequency of conversion to thoracotomy.<br /><br />Overall, this study suggests that RATS could be an effective minimally invasive approach for NSCLC patients who have undergone neoadjuvant therapy. However, further research is needed to validate these findings and explore the long-term outcomes of RATS compared to VATS.

Asset Subtitle

Hong-Ji Li

Meta Tag

Speaker Hong-Ji Li

Topic Early-Stage NSCLC: More Minimally Invasive Approaches

Keywords

robotic-assisted thoracic surgery

video-assisted thoracic surgery

neoadjuvant therapy

non-small cell lung cancer

RATS

VATS

resection rate

operation time

postoperative complications

conversion to thoracotomy