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2023 World Conference on Lung Cancer (Posters)
P1.26. Retrospective Comparison of Robotic- and Vi ...
P1.26. Retrospective Comparison of Robotic- and Video-assisted Thoracic Surgery after Neoadjuvant Therapy for Non-small Cell Lung Cancer - PDF(Slides)
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The study compares the outcomes of robotic-assisted thoracic surgery (RATS) and video-assisted thoracic surgery (VATS) in patients with non-small cell lung cancer (NSCLC) who received neoadjuvant therapy. The primary outcome measures were the rate of complete resection (R0 resection rate), operation time, and estimated blood loss. The secondary outcome measure was the rate of conversion to thoracotomy.<br /><br />The results showed that RATS was advantageous for complex procedures. The R0 resection rate was 90.0% in RATS and 84.4% in VATS, although this difference was not statistically significant. There were no significant differences in operation time and estimated blood loss between the two groups. The conversion rate to thoracotomy was numerically lower in RATS compared to VATS, but again, this difference was not significant. <br /><br />The study also analyzed the learning curve of the first 100 RATS cases. The mean operative time reached its peak at the 15th case and gradually decreased after that. In the cases of RATS performed after neoadjuvant therapy, the mean operative time remained above 200 minutes since the 5th case.<br /><br />Overall, the study concludes that RATS is comparable to VATS in achieving radical resection after neoadjuvant therapy for NSCLC. RATS is also accessible and may reduce the frequency of conversion to thoracotomy.
Asset Subtitle
Hong-Ji Li
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Speaker
Hong-Ji Li
Topic
Early-Stage NSCLC: More Minimally Invasive Approaches
Keywords
robotic-assisted thoracic surgery
RATS
video-assisted thoracic surgery
VATS
non-small cell lung cancer
neoadjuvant therapy
complete resection
operation time
estimated blood loss
conversion to thoracotomy
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