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Day surgery unit robotics thoracic surgery: feasibility and management
Xin Li1,2,3, Yuanqi Liu1,2,3, Yanwu Zhou1,2,3
1Department of Thoracic Surgery, XiangyaHospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.
Journal of Cancer Research and Clinical Oncology
|April 10, 2023
Summary
Robot-assisted thoracic day surgery is safe and feasible, offering shorter hospital stays and lower costs compared to conventional methods. This approach shows promise for expanding minimally invasive thoracic procedures.
Area of Science:
- Minimally Invasive Surgery
- Thoracic Surgery
- Robotic Surgery
Background:
- Day surgery is established in developed countries, but thoracic day surgery is nascent.
- Accelerated Rehabilitation Surgery (ERAS) principles are increasingly applied in thoracic surgery.
- Robot-assisted thoracic surgery presents new opportunities for day surgery expansion.
Purpose of the Study:
- To evaluate the feasibility and safety of robot-assisted thoracic day surgery.
- To compare outcomes of robot-assisted thoracic day surgery with conventional robot-assisted thoracic surgery.
Main Methods:
- Retrospective review of 86 patients undergoing robot-assisted thoracic day surgery.
- Comparison with 86 patients undergoing conventional robot-assisted thoracic surgery (2020-2022).
- Analysis of clinical and pathological features, including surgical methods, hospital stay, and costs.
Main Results:
- No significant differences in nodule characteristics, pN, histology, or postoperative complications.
- Day surgery group had lower average age, fewer male patients, and fewer smokers.
- Segmental resection was predominant in day surgery; lobectomy in conventional.
- Day surgery resulted in shorter hospital stays, less drain time, and lower total medical costs.
Conclusions:
- Robot-assisted thoracic day surgery is a feasible and safe approach.
- This method demonstrates significant advantages in terms of efficiency and cost-effectiveness.
- The findings support the wider adoption of robotic thoracic day surgery units.
