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Updated: Apr 30, 2026
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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
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Comparative effectiveness of robotic-assisted vs thoracoscopic lobectomy
Subroto Paul1, Jessica Jalbert2, Abby J Isaacs2
1Department of Cardiothoracic Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY.
Chest
|May 10, 2014
Summary
Robotic-assisted lobectomy shows a higher complication rate, particularly cardiovascular and bleeding events, compared to thoracoscopic lobectomy. This early robotic surgery experience also revealed significantly increased costs.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Robotic-assisted lobectomy adoption is increasing.
- Limited data exists on its safety, complications, and effectiveness.
Purpose of the Study:
- To compare the safety, complication profile, and cost of robotic-assisted lobectomy versus thoracoscopic lobectomy.
Main Methods:
- Analysis of Nationwide Inpatient Sample data (2008-2011).
- Comparison of in-hospital mortality, complications, length of stay, and cost between robotic-assisted and thoracoscopic lobectomy patients.
Main Results:
- Robotic-assisted lobectomy (2,498 cases) had a higher complication rate (50.1%) than thoracoscopic lobectomy (37,595 cases) (45.2%).
- Increased cardiovascular and iatrogenic bleeding complications were noted in the robotic group.
- Higher risk of iatrogenic bleeding persisted in multivariable analysis (aOR, 2.64).
- Robotic-assisted lobectomy was significantly more expensive ($22,582 vs $17,874).
Conclusions:
- Early experience indicates robotic-assisted lobectomy is linked to more intraoperative injuries and bleeding than thoracoscopic lobectomy.
- Robotic-assisted lobectomy incurs substantially higher costs.
