Postoperative Pain in the Lobectomy Patients with Robotic Surgery versus Video-assisted Thoraciscopic Surgery: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SUNXiao , ZHAOYan-dong , QIUTong , ZHANGLiang-dong , RENXiao-yang , FUBo ,  JIAOWen-jie

Department of Thoracic Surgery of The Affiliated Hospital of Qingdao University, Qingdao 266003 Shangdong, P. R. China;

Corresponding author：

JIAOWen-jie, Email: qdmhts@163.com

Keywords：

Robotic surgery; Video-assisted thoraciscopic surgery; Lobectomy; Pain

DOI：

10.7507/1007-4848.20150233

Video：

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Objective To determine postoperative pain of the robotic technique for the patients with lobectomy. Methods We retrospectively analyzed the clinical data of 120 patients with lobectomy between October 2014 and May 2015 in our hospital. The patients are divided into two groups:a robotic group, including 40 patients with 16 males and 24 females at age of 59.7±7.2 years, undergoing robotic lobectomy, and a video-assisted thoraciscopic surgery (VATS) lobectomy group (a VATS group) including 80 patients with 29 males and 51 females at age of 61.2±8.9 years, undergoing VATS lobectomy. We used the numerical rating scale (NRS) and verbal rating scale (VRS) to assess the pain level on the first day, the 7th day and the 30th day after the surgery. The pain level of the two groups was compared. Results The patients in the two groups both felt pain. There were no statistical differences in the scores of VRS and NRS on the first day, the 7th day and the 30th day after the surgery between the two group (P>0.05). The pain score of the patients in the two groups decreased with no statistical difference from the first day to the 30th day after the surgery (P>0.05). Conclusion The patients with robotic lobectomy have similar pain level after surgery compared with the patients with VATS lobectomy.

Citation： SUNXiao, ZHAOYan-dong, QIUTong, ZHANGLiang-dong, RENXiao-yang, FUBo, JIAOWen-jie. Postoperative Pain in the Lobectomy Patients with Robotic Surgery versus Video-assisted Thoraciscopic Surgery: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 932-935. doi: 10.7507/1007-4848.20150233 Copy

1.	李剑锋,杨帆,李运,等.连续100例全胸腔镜下肺叶切除术的临床分析.中国胸心外科血管杂志,2009,16(1):1-4.
2.	易俊,董国华,许飚,等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报,201l,24:696-699.
3.	嵇武.手术机器人的应用进展与前景展望.医学研究生学报,2010,23:994-998.
4.	陈秀,韩冰,郭巍,等.Da Vinci S手术机器人在胸外科应用的初步经验.中国医师杂志,2010,12(7):895-898.
5.	Grogan EL,Jones DR.VATS lobectomy is better than open thoracotomy:what is the evidence for short-term outcomes?Thorac Surg Clin,2008,18:249-258.
6.	熊燃,许瑞彬.胸腔镜在胸部疾病诊疗中的发展及临床应用.临床肺科杂志,2013,18(9):1669-1670.
7.	黄志强.21世纪外科从2D到3D一从腹腔镜到机器人.中华普外科手术学杂志,2010,4(3):1-4.
8.	Jensen MP,Karoly P,O'Riordan EF,et al.The subjective experience of acute pain.An assessment of the utility of 10 indices.Clin J Pain,1989,5:153-159.
9.	Hawker G,Mian S,Kendzerska T.French M.Measures of adult pain.Arthritis Care Res,2011,63:S240-252.
10.	丁爱玲,詹翠萍,李翠媚,等.肋间神经冷冻术预防胸部手术后疼痛的手术配合.护士进修杂志,2005,20(5):454-455.
11.	刘君,何建行,黄俊,等.VATS术与SPT术对肺癌患者机体创伤的对比研究.中国肿瘤外科杂志,2009,l(1):33-35.
12.	张爱华.胸外科患者术后疼痛的护理.齐齐哈尔医学院学报,2012,33(10):1390-1391.
13.	Tsubokawa N,Harada H,Takenaka C.Comparison of postoperative pain after different thoracic surgery approaches as measured by electrical stimulation.Thorac Cardiovasc Surg,2015,26(3):212-215.
14.	Veronesi G,Galetta D,Maisonneuve P,et al.Four-arm robotic lobectomy for the treatment of early-stage lung cancer.J Thorac Cardiovasc Surg,2010,140:19-25.
15.	Park BJ,Flores RM,Rusch VW.Robotic assistance for videoassisted thoracic surgical lobectomy:technique and initial results.J Thorac Cardiovasc Surg,2006,131:54-59.
16.	Augustin F,Bodner J,Wykypiel H,et al.Initial experience with robotic lung lobectomy:report of two different approaches.Surg Endosc,2011,25:108-113.
17.	Rizk NP,Ghanie A,Hsu M.A Prospective trial comparing pain and quality of life measures after anatomic lung resection using thoracoscopy or thoracotomy.Ann Thorac Surg,2014,98:1160-1166.
18.	徐兆红,宋成利,闫士举.机器人在微创外科手术中的应用.中国组织工程研究与临床康复,2011,15(35):6598-6601.
19.	杨波,王辉清,肖亮,等.机器人单孔腹腔镜下行猪肾部分切除术及肾盂输尿管成形术的初步尝试.第二军医大学学报,2011,32(4):2.
20.	Yamashita Y,Mukaida H,Harada H,et al.Post-thoracotomy pain and long-term survival associated with video-assisted thoracic surgery lobectomy methods for clinical T1N0 lung cancer:a patientoriented,prospective cohort study.Eur J Cardiothorac Surg,2013,44(1):e71-76.

1. 李剑锋,杨帆,李运,等.连续100例全胸腔镜下肺叶切除术的临床分析.中国胸心外科血管杂志,2009,16(1):1-4.
2. 易俊,董国华,许飚,等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报,201l,24:696-699.
3. 嵇武.手术机器人的应用进展与前景展望.医学研究生学报,2010,23:994-998.
4. 陈秀,韩冰,郭巍,等.Da Vinci S手术机器人在胸外科应用的初步经验.中国医师杂志,2010,12(7):895-898.
5. Grogan EL,Jones DR.VATS lobectomy is better than open thoracotomy:what is the evidence for short-term outcomes?Thorac Surg Clin,2008,18:249-258.
6. 熊燃,许瑞彬.胸腔镜在胸部疾病诊疗中的发展及临床应用.临床肺科杂志,2013,18(9):1669-1670.
7. 黄志强.21世纪外科从2D到3D一从腹腔镜到机器人.中华普外科手术学杂志,2010,4(3):1-4.
8. Jensen MP,Karoly P,O'Riordan EF,et al.The subjective experience of acute pain.An assessment of the utility of 10 indices.Clin J Pain,1989,5:153-159.
9. Hawker G,Mian S,Kendzerska T.French M.Measures of adult pain.Arthritis Care Res,2011,63:S240-252.
10. 丁爱玲,詹翠萍,李翠媚,等.肋间神经冷冻术预防胸部手术后疼痛的手术配合.护士进修杂志,2005,20(5):454-455.
11. 刘君,何建行,黄俊,等.VATS术与SPT术对肺癌患者机体创伤的对比研究.中国肿瘤外科杂志,2009,l(1):33-35.
12. 张爱华.胸外科患者术后疼痛的护理.齐齐哈尔医学院学报,2012,33(10):1390-1391.
13. Tsubokawa N,Harada H,Takenaka C.Comparison of postoperative pain after different thoracic surgery approaches as measured by electrical stimulation.Thorac Cardiovasc Surg,2015,26(3):212-215.
14. Veronesi G,Galetta D,Maisonneuve P,et al.Four-arm robotic lobectomy for the treatment of early-stage lung cancer.J Thorac Cardiovasc Surg,2010,140:19-25.
15. Park BJ,Flores RM,Rusch VW.Robotic assistance for videoassisted thoracic surgical lobectomy:technique and initial results.J Thorac Cardiovasc Surg,2006,131:54-59.
16. Augustin F,Bodner J,Wykypiel H,et al.Initial experience with robotic lung lobectomy:report of two different approaches.Surg Endosc,2011,25:108-113.
17. Rizk NP,Ghanie A,Hsu M.A Prospective trial comparing pain and quality of life measures after anatomic lung resection using thoracoscopy or thoracotomy.Ann Thorac Surg,2014,98:1160-1166.
18. 徐兆红,宋成利,闫士举.机器人在微创外科手术中的应用.中国组织工程研究与临床康复,2011,15(35):6598-6601.
19. 杨波,王辉清,肖亮,等.机器人单孔腹腔镜下行猪肾部分切除术及肾盂输尿管成形术的初步尝试.第二军医大学学报,2011,32(4):2.
20. Yamashita Y,Mukaida H,Harada H,et al.Post-thoracotomy pain and long-term survival associated with video-assisted thoracic surgery lobectomy methods for clinical T1N0 lung cancer:a patientoriented,prospective cohort study.Eur J Cardiothorac Surg,2013,44(1):e71-76.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Postoperative Pain in the Lobectomy Patients with Robotic Surgery versus Video-assisted Thoraciscopic Surgery: A Case Control Study

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