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Related Experiment Video

Updated: Jul 11, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

313

RoboticAssisted (RATS) versus Video-Assisted (VATS) lobectomy: A monocentric prospective randomized trial.

C Catelli1, R Corzani2, E Zanfrini2

  • 1Division of Thoracic Surgery, Department of Cardiothoracic Surgery and Vascular Sciences, Padua University Hospital, University of Padua, Via Giustiniani 1, Padua, PD, Italy.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|November 5, 2023
PubMed
Summary
This summary is machine-generated.

Robotic-assisted lobectomy (RATS) shows reduced pleural effusion and pain compared to Video-Assisted Thoracic Surgery (VATS) lobectomy. While RATS has higher costs, it offers comparable long-term outcomes and fewer cardiac complications.

Keywords:
LobectomyLung cancerMini-invasive surgeryRATSVATS

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Video-Assisted Thoracic Surgery (VATS) and Robotic-Assisted Thoracic Surgery (RATS) are minimally invasive techniques for lung lobectomy.
  • The adoption of RATS is influenced by its higher costs and the need for specialized surgeon training.

Purpose of the Study:

  • To compare the efficacy and safety of RATS versus VATS lobectomy.
  • To identify the advantages and limitations of robotic procedures in lung cancer surgery.

Main Methods:

  • A monocentric prospective randomized trial.
  • Patients undergoing mini-invasive lobectomy were randomized 1:2 to RATS (25 patients) or VATS (50 patients).
  • Perioperative and postoperative outcomes were compared with a mean follow-up of 37.9 months.

Main Results:

  • RATS group showed significantly reduced pleural effusion on postoperative days 1 and 2 (p=0.003, p=0.001) and lower pain scores on day 1 (p=0.005).
  • VATS group had shorter surgery times (p=0.036) but a higher incidence of cardiac arrhythmias (p=0.038).
  • Overall survival (OS) and disease-free survival (DFS) were similar between groups (95.5% vs 93.1% and 95.5% vs 89.7%, respectively), with no difference in quality of life.

Conclusions:

  • RATS is a viable alternative to VATS lobectomy, offering reduced inflammatory response, less postoperative pain, and fewer cardiac complications.
  • RATS facilitates accurate lymph node dissection, achieving comparable long-term oncological outcomes to VATS.
  • Despite higher costs, RATS may lead to shorter hospitalizations and improved patient recovery.