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Published on: April 19, 2024
Post-Operative Outcomes and Different Pain Trajectories Between Uniportal Thoracoscopic, Multiport Robot-Assisted and
Stefano Bongiolatti1, Lavinia Gatteschi1, Alessandro Gonfiotti1,2
1Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Summary
Robot-assisted surgery for early-stage non-small-cell lung cancer (NSCLC) shows promising results. Uniportal robot-assisted (uRATS) lung resections may reduce opioid use compared to multiport robot-assisted (mRATS) surgery.
Area of Science:
- Thoracic surgery
- Surgical oncology
- Minimally invasive surgery
Background:
- Minimally invasive lung resections are standard for early-stage non-small-cell lung cancer (NSCLC).
- Robot-assisted surgery is increasingly popular for these procedures.
Purpose of the Study:
- To compare postoperative outcomes, pain, and opioid consumption.
- To evaluate three minimally invasive approaches: uniportal thoracoscopic (uVATS), multiport robot-assisted (mRATS), and uniportal robot-assisted (uRATS).
Main Methods:
- Retrospective analysis of patients undergoing major lung resections for NSCLC.
- Procedures performed by a single surgeon between 2021 and 2025.
- Comparison of uVATS, mRATS, and uRATS techniques.
Main Results:
- Similar overall outcomes across the three techniques.
- Longer operative time observed for uRATS procedures (p < 0.01).
- Comparable pain scores, but lower morphine requirements in single-port techniques (uVATS, uRATS) versus mRATS (p < 0.01 and p = 0.046).
Conclusions:
- Uniportal robot-assisted (uRATS) surgery may be associated with reduced opioid and morphine requirements.
- Postoperative pain was comparable across all investigated minimally invasive approaches.
- Single-port techniques demonstrated potential benefits in reducing opioid consumption.
