XUWei , WANGShu-min , XUShi-guang , LIUXing-chi , LIBo , MENGHao , QUJia-qi
  • Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, P. R. China;
WANGShu-min, Email: sureman2003congo@163.com
Da Vinci robot system; Senile patients; Radical surgery of lung cancer
10.7507/1007-4848.20150227
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Objective To evaluate the feasibility and safety of da Vinci robotic surgery for elderly patients with pulmonary lobectomy. Methods We retrospectively analyzed the clinical data of 50 patients in General Hospital of Shenyang Military Region of Thoracic Surgery between May 2012 and March 2015.The patients were divided into two groups. Twenty five patients aged over 70 years underwent radical operation of lung cancer with da Vinci Robot System were allocated into a robot group with 17 males and 8 females at age of 72.6 ±2.5 years. Another 25 senile patients with radical surgery by video-assisted thoracoscopic surgery (VATS) were allocated into a thoracoscopic group with 17 males and 8 females at age of 72.5±2.4 years. The patients in the two groups underwent pulmonary lobectomy and mediastinal lymph node dissection. The clinical effect of the two groups was compared. Results All patients were diagnosed as lung cancer. Twenty five patients all completed surgery under da Vinci Robot System in the robot group. In the thoracoscopic group, one patient was converted to thoracotomy. There were statistical differences in amount of blood loss (66.2±44.2 ml vs. 356.0±349.2 ml, P=0.000), lymph node number (23.2±9.8 vs. 11.3±5.6, P=0.012), and postoperative bed time (3.5±0.9 d vs. 4.2±1.1 d, P=0.017) between the two groups. Effect in the robot group was superior to that in the thoracoscopic group. Conclusion Da Vinci robotic surgery system for elderly patients with lung cancer radical surgery is safe, effective, and less thoracoscopic surgery trauma, recovery faster.

Citation： XUWei, WANGShu-min, XUShi-guang, LIUXing-chi, LIBo, MENGHao, QUJia-qi. Da Vinci Robot System versus Video-assisted Thoracoscopy for the Senile Patients with Radical Surgery of Lung Cancer: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 906-909. doi: 10.7507/1007-4848.20150227 Copy

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