Efficacy of using Maryland forceps versus electrocoagulation hooks in da Vinci robot-assisted thoracoscopic mediastinal tumor resection

Hong, Ziqiang; Bai, Xiangdou; Sheng, Yannan; Cui, Baiqiang; Lu, Yingjie; Cheng, Tao; Wu, Xusheng; Jin, Dacheng; Gou, Yunjiu; Zhao, Jing

doi:10.1186/s12957-023-03065-y

Cited by 3 publications

(1 citation statement)

References 15 publications

(18 reference statements)

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“…[ 1 , 2 ]. Clinically, surgery is generally the first choice of treatment, and most patients have achieved good prognosis and improved quality of life after treatment [ 3 ]. Compared with the classic median sternotomy or anterolateral intercostal incision thoracotomy approach, a large number of cases have proven that minimally invasive surgery has advantages such as small incisions, minor trauma, fewer complications, and faster postoperative recovery [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of clinical efficacy of thoracoscopy and robotic surgery in the treatment of mediastinal tumors

Dang,

Sun,

et al. 2024

World J Surg Onc

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Objective Comparing the clinical efficacy of thoracoscopy and robotic surgery in the treatment of mediastinal tumors using meta-analysis. Methods Computer retrieval of PubMed, Embase, The Cochrane Library, and Web of Science databases for literature comparing the clinical effects of video-assisted thoracic surgery (VATS) and robot-assisted thoracic surgery (RATS) in treating mediastinal tumors, with the retrieval time limit from the establishment of the database to September 2023. Two evaluators independently screened the literature, extracted data, and assessed the risk of bias. Meta-analysis was performed using RevMan 5.4. Results A total of 19 articles were included, with a total of 3517 patients. The results of the Meta-analysis showed that the RATS group had less intraoperative bleeding [MD = − 5.20, 95%CI (− 9.28, − 1.12), P = 0.01], lower rate of conversion to thoracotomy [OR = 0.41, 95%CI (0.23, 0.72), P = 0.002], lower rate of total postoperative complications [OR = 0.57, 95%CI (0.34, 0.95), P = 0.03], shorter postoperative drainage time [MD = − 0.72, 95%CI (− 1.13, − 0.32), P = 0.0004], and shorter postoperative hospital stay [MD = − 0.90, 95%CI (− 1.16, − 0.65), P < 0.001], in comparison with the VATS group. There was an insignificant difference between the two groups in terms of tumor size [MD = − 0.02, 95%CI (− 0.33, 0.30), P = 0.91] and operation time [MD = 0.17, 95%CI (− 7.61, 7.94), P = 0.97]. However, in regards to hospitalization costs [MD = 2634.75, 95%CI (991.62, 4277.88), P = 0.002], the RATS group was more expensive than the VATS group. Conclusion Robot-assisted mediastinal tumor resection surgery has more advantages in terms of intraoperative bleeding, conversion to thoracotomy rate, total postoperative complication rate, postoperative drainage time, and postoperative hospital stay, in comparison with thoracoscopic-assisted mediastinal tumor resection surgery. There is an insignificant difference in tumor size and operation time between the two surgeries. However, robot-assisted mediastinal tumor resection surgery increases hospitalization costs.

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Section: Introductionmentioning

confidence: 99%

Meta-analysis of clinical efficacy of thoracoscopy and robotic surgery in the treatment of mediastinal tumors

Dang,

Sun,

et al. 2024

World J Surg Onc

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Efficacy of the da Vinci robot versus thoracoscopic surgery for patients with mediastinal tumors of different body mass index: a multicenter propensity score-matched study

Liu,

Hong,

Cao

et al. 2024

World J Surg Onc

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Background The purpose of the present study was to evaluate the efficacy and safety of da Vinci robot-assisted thoracoscopic surgery (RATS) versus video-assisted thoracoscopic surgery (VATS) for the treatment of patients with mediastinal tumors of different body mass indices (BMI). Methods A retrospective cohort study was used to collect 260 patients with mediastinal tumors admitted to three medical centers in China from December 2020 to March 2024. These patients underwent mediastinal tumor resection by RATS ( n = 125) or VATS ( n = 135). Propensity score matching (PSM) analysis was performed for the both groups, and further, the patients were divided into the N-BMI group (18.5 kg/m 2 ≤ BMI < 25 kg/m 2 ) and the H-BMI group (BMI ≥ 25 kg/m 2 ) based on their BMI to compare patients’ surgery-related information. Results The RATS group had more advantages than the VATS group in terms of intraoperative blood loss, total postoperative drainage, postoperative drainage time, and postoperative hospital stay. As for hospitalization costs, the VATS group was more advantageous. In the H-BMI group, subgroup analysis showed a statistically significant difference in shorter operative time and lower incidence of postoperative complications in the RATS group. Conclusion RATS has technical and short-term efficacy advantages in comparison with VATS, although it has the drawback of high costs associated with the treatment of mediastinal tumors. In the patients with mediastinal tumors of H-BMI, RATS can achieve better short-term outcomes and safety, especially in the reduction of the incidence of postoperative complications.

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Comparison of efficacy and safety between da Vinci robot-assisted surgery and thoracoscopic surgery in the treatment of mediastinal tumors: A systematic review and meta-analysis

Dang,

Wu,

Sun

et al. 2023

Preprint

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Objective Systematic evaluation of the efficacy and safety of da Vinci robot-assisted thoracic surgery (RATS) and video-assisted thoracic surgery (VATS) in the treatment of mediastinal tumors. Methods Computer retrieval of PubMed, Embase, The Cochrane Library, and Web of Science databases for literature comparing the clinical effects of RATS and VATS in treating mediastinal tumors, with the retrieval time limit from the establishment of the database to September 2023. Two researchers independently screened the literature and extracted data. The Newcastle-Ottawa Scale was used to assess the quality of the literature, and RevMan 5.4 was used for Meta-analysis. Results A total of 19 articles were included, with a total of 3517 patients. The results of the Meta-analysis showed that the RATS group had less intraoperative bleeding [MD=-5.20, 95%CI (-9.28, -1.12), P = 0.01], lower rate of conversion to thoracotomy [OR = 0.41, 95%CI (0.23, 0.72), P = 0.002], lower rate of total postoperative complications [OR = 0.57, 95%CI (0.34, 0.95), P = 0.03], shorter postoperative drainage time [MD=-0.72, 95%CI (-1.13, -0.32), P = 0.0004], and shorter postoperative hospital stay [MD=-0.90, 95%CI (-1.16, -0.65), P < 0.001], in comparison with the VATS group. There was insignificant difference between the two groups in terms of tumor size [MD=-0.02, 95%CI (-0.33, 0.30), P = 0.91] and operation time [MD = 0.17, 95%CI (-7.61, 7.94), P = 0.97]. However, in regards of hospitalization costs [MD = 2634.75, 95%CI (991.62, 4277.88), P = 0.002], the RATS group was more expensive than the VATS group. Conclusion Robot-assisted mediastinal tumor resection surgery has more advantages in terms of intraoperative bleeding, conversion to thoracotomy rate, total postoperative complication rate, postoperative drainage time, and postoperative hospital stay, in comparison with thoracoscopic-assisted mediastinal tumor resection surgery. There is insignificant difference in tumor size and operation time between the two surgeries. However, robot-assisted mediastinal tumor resection surgery increases hospitalization costs.

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Efficacy of using Maryland forceps versus electrocoagulation hooks in da Vinci robot-assisted thoracoscopic mediastinal tumor resection

Cited by 3 publications

References 15 publications

Meta-analysis of clinical efficacy of thoracoscopy and robotic surgery in the treatment of mediastinal tumors

Meta-analysis of clinical efficacy of thoracoscopy and robotic surgery in the treatment of mediastinal tumors

Efficacy of the da Vinci robot versus thoracoscopic surgery for patients with mediastinal tumors of different body mass index: a multicenter propensity score-matched study

Comparison of efficacy and safety between da Vinci robot-assisted surgery and thoracoscopic surgery in the treatment of mediastinal tumors: A systematic review and meta-analysis

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