Postoperative Pain in Patients with Da Vinci Surgical System versus Video-assisted Mini-thoractomy: A Case Controlled Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANGXi-long , XUShi-guang , LIUBo , TENGHong , GAOXin , WANGTong , LIUXing-chi , LIBo , XUWei , DINGRen-quan ,  WANGShu-min

Department of Thoracic Surgery, General Hospital of Shenyang Military Command, Shenyang 110016, P. R. China;

Corresponding author：

WANGShu-min, Email: sureman2003congo@163.com

Keywords：

Pain; Surgery; Minimally invasive; Robotics; Da Vinci Surgical System

DOI：

10.7507/1007-4848.20160055

Video：

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Objective To compare the effect of da Vinci Surgical System and video-assisted mini-thoractomy (VAMT) on postoperative pain of patients with lungs or mediastinal tumor. Methods We retrospectively analyzed the clinical data of 88 patients with lung or mediastinal tumor who underwent surgical treatment in our hospital from January 2015 through April 2015. The patients were divided into two groups including a robot group and a VAMT group. There were 49 patients in the robot group with 23 males and 26 females at age of 55.14±13.03 years and 39 patients with 23 males and 16 females at age of 56.92±8.98 years in the VAMT group. Results Compared with the VAMT group, shorter operation time (t=-2.298, P=0.024) and shorter time of drainage (t=-2.421, P=0.018) were found in the robot group with statistical differences. There was a statistical difference in visual analogue scale (VAS) scores of postoperative 24 hours between the robot group and the VAMT group (1.00±0.74 vs. 2.33±1.64, t=-4.704, P=0.000). While no statistical difference was found in VAS scores of postoperative 48 hours (t=-0.244, P=0.808) between the two groups. Conclusion Compared with VAMT, da Vinci Surgical System can be used in the treatment of lung and mediastinal tumor with shorter operation time, shorter time of drainage, less pain, and less invasiveness.

Citation： WANGXi-long, XUShi-guang, LIUBo, TENGHong, GAOXin, WANGTong, LIUXing-chi, LIBo, XUWei, DINGRen-quan, WANGShu-min. Postoperative Pain in Patients with Da Vinci Surgical System versus Video-assisted Mini-thoractomy: A Case Controlled Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(3): 230-233. doi: 10.7507/1007-4848.20160055 Copy

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16.	裘毅敏, 汪正平, 李士通, 等. 布比卡因切口浸润应用于妇科腹腔镜手术的镇痛效果. 上海医药, 2007, 30(6): 413-415.
17.	Yaksh TL, Hammond DL. Peripheral and central substrates involved in the rostrad transmission of nocieeptive information. Pain, 1982, 13(1): 1-85.
18.	黄华明, 陈爱军. 白细胞介素6的研究现状. 实用医学杂志, 2010, 26(14): 2658-2660.
19.	Li YY, Hsieh LL, Tang RP, et al. Macrophage-derived interleukin-6 up-regulates MUCl, but down-regulates MUC2 expression in the human colon cancer HT-29 cell line. Cell Immunol, 2009, 256(1-2): 19-26.
20.	王述民, 童向东, 刘博, 等. 达芬奇机器人左肺上叶切除术和淋巴结清除术治疗非小细胞肺癌.中国胸心血管外科临床杂志, 2015, 22(3): 215-219.
21.	王述民, 许世广, 童向东, 等. 机器人肺叶切除术治疗非小细胞肺癌. 中国胸心血管外科临床杂志, 2013, 20(3): 308-311.
22.	Brian EL, Alexander SF, Aye RW. Early experience with robotic lung resection results in similar operative outcomes and morbidity when compared with matched video-assisted thoracoscopic surgery cases. Ann Thorac Surg, 2012, 93(5): 1598-1605.

1. 王述民. 达芬奇机器人在肺癌根治术中的应用现状及展望. 中国肿瘤, 2014, 23(9): 736-742.
2. Lobontiu A. The da Vinci surgical system performing computer-enhancedsurgery. Osp Ital Chir, 2001, 7: 367-372.
3. Hashizume M, Shimada M, Tomikawa M, et al. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system. Surg Endosc, 2002, 16: 1187-1191.
4. 嵇武, 李宁, 黎介寿. 我国手术机器人外科面临的机遇和挑战. 中国微创外科杂志, 2012, 12(7): 577-579.
5. Byrn JC, Schluender S, Divino CM, et al. Three-dimensional imaging improves surgical performance for both novice and experie-nced operators using the da Vinci Robot System. Am J Surg, 2007, 193(4): 519-522.
6. Jones A, Sethia K. Robotic surgery. Ann R Coil Surg Engl, 2010, 92(1): 5-13.
7. 许世广, 王希龙, 童向东, 等. 机器人与电视胸腔镜手术治疗纵隔支气管源性囊肿的对比研究. 中国微创外科杂志, 2015, 15(3): 193-196.
8. 张大坤, 许世广, 丁仁泉, 等. 达芬奇机器人手术与胸腔镜辅助小切口手术对肺手术患者创伤对比分析. 创伤与急危重病医学, 2014, 2(5): 296-300.
9. 徐建国, 主编. 疼痛药物治疗学. 北京: 人民卫生出版社, 2007. 1.
10. Merboth MK, Barnason S. Managing pain: the fifth vital sign. Nurs Clin North Am, 2000, 35(2): 375-383.
11. Gordon DB,Polomano RC, Pellino TA, et al. Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) for quality improvement of pain management in hospitalized adults: preliminary psychometric evaluation. J Pain, 2010, 11(11): 1172-1186.
12. Logic MH. Truth and language in concepts of pain. Qual Life Res, 1994, 3(Suppl 1): S69-S76.
13. Witt JK, Linkenauger SA, Bakdash JZ, et al. The long road of pain: chronic pain increases perceived distance. Exp Brain Res, 2009, 192(1): 145-148.
14. Baliki MN, Chialvo DR, Geha PY, et al. Chronic pain and the emotional brain: specific brain activity associated with spontaneous fluctuations of intensity of chronic back pain. J Neurosci, 2006, 26(47): 12165-12173.
15. Woolf CJ, Salter MW. Neuronal plasticity:Intereasing the gain in pain. Science, 2000, 28(5472): 1765-1768.
16. 裘毅敏, 汪正平, 李士通, 等. 布比卡因切口浸润应用于妇科腹腔镜手术的镇痛效果. 上海医药, 2007, 30(6): 413-415.
17. Yaksh TL, Hammond DL. Peripheral and central substrates involved in the rostrad transmission of nocieeptive information. Pain, 1982, 13(1): 1-85.
18. 黄华明, 陈爱军. 白细胞介素6的研究现状. 实用医学杂志, 2010, 26(14): 2658-2660.
19. Li YY, Hsieh LL, Tang RP, et al. Macrophage-derived interleukin-6 up-regulates MUCl, but down-regulates MUC2 expression in the human colon cancer HT-29 cell line. Cell Immunol, 2009, 256(1-2): 19-26.
20. 王述民, 童向东, 刘博, 等. 达芬奇机器人左肺上叶切除术和淋巴结清除术治疗非小细胞肺癌.中国胸心血管外科临床杂志, 2015, 22(3): 215-219.
21. 王述民, 许世广, 童向东, 等. 机器人肺叶切除术治疗非小细胞肺癌. 中国胸心血管外科临床杂志, 2013, 20(3): 308-311.
22. Brian EL, Alexander SF, Aye RW. Early experience with robotic lung resection results in similar operative outcomes and morbidity when compared with matched video-assisted thoracoscopic surgery cases. Ann Thorac Surg, 2012, 93(5): 1598-1605.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Postoperative Pain in Patients with Da Vinci Surgical System versus Video-assisted Mini-thoractomy: A Case Controlled Study

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