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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Related Experiment Video

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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Robotic Versus Video-Assisted Thoracoscopic Lobectomy/Segmentectomy: Multilevel Analysis in Japan.

Yukiko Nemoto1, Makoto Okawara2, Natsumasa Nishizawa1

  • 1Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushyu-shi, Fukuoka, 807-8555, Japan.

Interdisciplinary Cardiovascular and Thoracic Surgery
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PubMed
Summary
This summary is machine-generated.

Robotic-assisted thoracoscopic surgery (RATS) and video-assisted thoracoscopic surgery (VATS) show comparable perioperative safety for lung cancer in Japan. RATS had a small increase in postoperative mechanical ventilation, but other major complications were similar.

Keywords:
Japanese Diagnosis Procedure Combination databasenon-small-cell lung cancerperioperative outcomerobotic-assisted lobectomyvideo-assisted lobectomy

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Limited large-scale comparative data exists for robotic-assisted thoracoscopic surgery (RATS) versus video-assisted thoracoscopic surgery (VATS) in Asia.
  • Understanding perioperative safety is crucial for guiding surgical approach selection in lung cancer treatment.

Purpose of the Study:

  • To compare the perioperative outcomes of RATS and VATS for lung cancer surgery.
  • To evaluate the safety profile of RATS versus VATS in a large Asian cohort.

Main Methods:

  • Retrospective analysis of the Japanese Diagnostic Procedure Combination database.
  • Inclusion of 47,541 patients undergoing lobectomy or segmentectomy for lung cancer (2018-2021).
  • Multivariable analyses to compare outcomes between RATS and VATS.

Main Results:

  • Perioperative mortality was not significantly different between RATS and VATS.
  • RATS was associated with longer anesthesia time and a small, statistically significant increase in postoperative mechanical ventilation (absolute difference +0.52%).
  • No significant differences were found in other major complications, reoperation rates, or hospital stay duration.

Conclusions:

  • Overall perioperative safety of RATS and VATS for lung cancer is comparable in this Japanese cohort.
  • A small increase in postoperative ventilation with RATS warrants consideration, potentially influenced by unmeasured confounding factors.
  • Future prospective studies are recommended to explore procedural factors and patient selection for optimizing RATS outcomes.