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Robotic versus thoracoscopic lung resection: A systematic review and meta-analysis
Alexander Emmert1, Carmen Straube, Judith Buentzel
1Department of Thoracic and Cardiovascular Surgery Department of Haematology and Oncology Department of Medical Statistics, University Medical Center, Georg-August University, Göttingen, Germany.
Medicine
|September 1, 2017
Summary
Robotic video-assisted surgery (RVATS) is a viable alternative to video-assisted surgery (VATS) for lung resections. RVATS demonstrates comparable operation times, with trends towards shorter drainage duration and hospital stays, and lower mortality rates.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Background:
- Robotic video-assisted surgery (RVATS) and video-assisted surgery (VATS) are established techniques for lung resections.
- Previous reports suggest comparable efficacy between RVATS and VATS.
- A meta-analysis is needed to compare key outcomes between these surgical approaches.
Purpose of the Study:
- To compare the effectiveness of RVATS versus VATS in lung resection procedures.
- To analyze differences in operation time, mortality, drainage duration, and hospitalization length.
- To evaluate RVATS as a potential alternative to VATS for thoracic surgery.
Main Methods:
- Systematic literature search of PubMed for studies published between January 2011 and January 2016.
- Inclusion of studies reporting mortality, operation time, drainage duration, and hospitalization length.
- Meta-analysis using mean difference and logarithmic odds ratio for summary statistics.
Main Results:
- Ten studies involving 3375 RVATS patients and 58,683 VATS patients were analyzed.
- No significant difference was found in operation time between RVATS and VATS.
- RVATS showed trends towards shorter drainage duration and hospitalization, with lower mortality rates.
Conclusions:
- RVATS is a suitable and effective minimally invasive procedure for lung resection.
- RVATS offers comparable time efficiency to VATS, with potential benefits in reduced hospital stay and drainage duration.
- Further high-quality studies are required to solidify the evidence on the relative benefits of RVATS versus VATS.
