The Safety of Robotic Pneumonectomy.
Publication/Presentation Date
3-1-2024
Abstract
BACKGROUND: Pneumonectomy remains among the most morbid procedures in thoracic surgery. Increasingly, robotic approaches are being adopted for a range of thoracoscopic procedures. The safety profile of robot-assisted thoracoscopic pneumonectomy remains poorly described, as do outcomes compared with traditional approaches.
METHODS: The National Cancer Database was used for a retrospective cohort analysis for patients with non-small cell lung cancer undergoing pneumonectomy from 2014 to 2018. Robotic approach was compared with open and thoracoscopic pneumonectomy. Descriptive and outcomes analyses, and 5-year overall survival were assessed.
RESULTS: Robot-assisted approach was completed in 269 (5.56%) cases, 3671 (75.88%) by open resection, and 898 (18.56%) thoracoscopically. Compared with open, robotic procedures resulted in similar median lymph node harvests (15 nodes vs 16 nodes;
CONCLUSIONS: Robot-assisted pneumonectomy can be performed safely in the setting of appropriate oncologic indications. Patients have comparable rates of R0 resection, nodal harvest, and survival compared with those treated with an open or thoracoscopic approach.
Volume
2
Issue
1
First Page
82
Last Page
87
ISSN
2772-9931
Published In/Presented At
Mack, S. J., Collins, M. L., Till, B. M., Whitehorn, G. L., Martin, J., Rshaidat, H., Grenda, T., Evans, N. R., & Okusanya, O. T. (2023). The Safety of Robotic Pneumonectomy. Annals of thoracic surgery short reports, 2(1), 82–87. https://doi.org/10.1016/j.atssr.2023.07.017
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
39790278
Department(s)
Administration and Leadership
Document Type
Article