Related Experiment Video
Updated: Jun 11, 2025
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.4K
Open thoracotomy versus VATS versus RATS for segmentectomy: a systematic review & Bayesian network meta-analysis
Jeevan Francis1, Diana Meirinho Domingues2, Jeremy Chan3
1University of Edinburgh Medical School, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK. Jeevanfrancis15@gmail.com.
Journal of Cardiothoracic Surgery
|October 1, 2024
Summary
This systematic review found no significant differences in mortality or complications between open thoracotomy, video-assisted thoracoscopic surgery (VATS), and robotic-assisted thoracoscopic surgery (RATS) for lung segmentectomy. Further research is needed to clarify the long-term benefits of RATS.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Segmentectomy is a less radical surgical approach for lung resection, often comparable to more extensive procedures.
- Video-assisted thoracoscopic surgery (VATS) is commonly used for segmentectomy.
- The clinical advantages of robotic-assisted thoracoscopic surgery (RATS) for segmentectomy require further investigation.
Purpose of the Study:
- To systematically review and compare the outcomes of open thoracotomy, VATS, and RATS for lung segmentectomy.
- To evaluate the safety and efficacy of different surgical approaches for this procedure.
Main Methods:
- A systematic literature search was performed across PubMed, EMBASE, and SCOPUS.
- Included studies compared open thoracotomy, VATS, and RATS for segmentectomy.
- Primary outcome was 30-day mortality; secondary outcomes included hospital readmission, air leak, and post-operative pneumonia.
Main Results:
- Eleven studies comprising 7280 patients were analyzed.
- No statistically significant differences were observed between open thoracotomy, VATS, and RATS regarding 30-day mortality, hospital readmission, air leak, or post-operative pneumonia.
- All three surgical approaches demonstrated comparable clinical outcomes for segmentectomy.
Conclusions:
- Current evidence indicates no significant clinical outcome differences between open, VATS, and RATS for lung segmentectomy.
- The adoption of RATS may be limited by its learning curve, despite potential benefits.
- Further randomized controlled trials are necessary to compare the long-term results of VATS and RATS.
