Objective:To compare the long-term outcomes among robotic, video-assisted thoracic surgery (VATS), and open lobectomy in stage I nonsmall cell lung cancer (NSCLC).Background:Survival comparisons between robotic, VATS, and open lobectomy in NSCLC have not yet been reported. Some studies have suggeste

Long-term Survival Based on the Surgical Approach to Lobectomy For Clinical Stage I Nonsmall Cell Lung Cancer: Comparison of Robotic, Video-assisted Thoracic Surgery, and Thoracotomy Lobectomy.

https://www.annalsthoracicsurgery.org/article/S0003-4975(15)01867-6/pdf

Use and Outcomes of Minimally Invasive Lobectomy for Stage I Non-Small Cell Lung Cancer in the National Cancer Data Base

Evaluation of acute and chronic pain outcomes after robotic, video-assisted thoracoscopic surgery, or open anatomic pulmonary resection.

Robot-assisted surgery for lung cancer: State of the art and perspectives

Background Robotic surgery is increasingly used to resect lung cancer However costs are high We compared costs and outcomes for robotic surgery, video-assisted thoracic surgery (VATS), and open surgery, to treat non-small cell lung cancer (NSCLC) Methods We retrospectively assessed 103 consecutive patients given lobectomy or segmentectomy for clinical stage I or II NSCLC Three surgeons could choose VATS or open, the fourth could choose between all three techniques Between-group differences were assessed by Fisher's exact, two-way analysis of variance (ANOVA), and Wilcoxon-Mann-Whitney test P values <005 were considered significant Results Twenty-three patients were treated by robot, 41 by VATS, and 39 by open surgery Age, physical status, pulmonary function, comorbidities, stage, and perioperative complications did not differ between the groups Pathological tumor size was greater in the open than VATS and robotic groups (P=0025) Duration of surgery was 150, 191 and 116 minutes, by robotic, VATS and open approaches, respectively (P<0001) Significantly more lymph node stations were removed (P<0001), and median length of stay was shorter (4, 5 and 6 days, respectively; P<0001) in the robotic than VATS and open groups Estimated costs were 82%, 68% and 69%, respectively, of the regional health service reimbursement for robotic, VATS and open approaches Discussion Robotic surgery for early lung cancer was associated with shorter stay and more extensive lymph node dissection than VATS and open surgery Duration of surgery was shorter for robotic than VATS Although the cost of robotic thoracic surgery is high, the hospital makes a profit

/pdf/robotic-surgery-video-assisted-thoracic-surgery-and-open-2ugu2rcsl4.pdf

Robotic surgery, video-assisted thoracic surgery, and open surgery for early stage lung cancer: comparison of costs and outcomes at a single institute.

Performing Robotic Lobectomy and Segmentectomy: Cost, Profitability, and Outcomes

http://lib.ajaums.ac.ir/booklist/1-s2.0-S0003497514009382-main.pdf

Ben Wei

Papers

Performing Robotic Lobectomy and Segmentectomy: Cost, Profitability, and Outcomes

The Efficacy of Restaging Endobronchial Ultrasound in Patients With Non-Small Cell Lung Cancer After Preoperative Therapy