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.	李劍鋒,楊帆,李運,等.連續100例全胸腔鏡下肺葉切除術的臨床分析.中國胸心外科血管雜志,2009,16(1):1-4.
2.	易俊,董國華,許飚,等.達芬奇-S外科手術輔助系統在普胸外科的應用.醫學研究生學報,201l,24:696-699.
3.	嵇武.手術機器人的應用進展與前景展望.醫學研究生學報,2010,23:994-998.
4.	陳秀,韓冰,郭巍,等.Da Vinci S手術機器人在胸外科應用的初步經驗.中國醫師雜志,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,許瑞彬.胸腔鏡在胸部疾病診療中的發展及臨床應用.臨床肺科雜志,2013,18(9):1669-1670.
7.	黃志強.21世紀外科從2D到3D一從腹腔鏡到機器人.中華普外科手術學雜志,2010,4(3):1-4.
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9.	Hawker G,Mian S,Kendzerska T.French M.Measures of adult pain.Arthritis Care Res,2011,63:S240-252.
10.	丁愛玲,詹翠萍,李翠媚,等.肋間神經冷凍術預防胸部手術后疼痛的手術配合.護士進修雜志,2005,20(5):454-455.
11.	劉君,何建行,黃俊,等.VATS術與SPT術對肺癌患者機體創傷的對比研究.中國腫瘤外科雜志,2009,l(1):33-35.
12.	張愛華.胸外科患者術后疼痛的護理.齊齊哈爾醫學院學報,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.	徐兆紅,宋成利,閆士舉.機器人在微創外科手術中的應用.中國組織工程研究與臨床康復,2011,15(35):6598-6601.
19.	楊波,王輝清,肖亮,等.機器人單孔腹腔鏡下行豬腎部分切除術及腎盂輸尿管成形術的初步嘗試.第二軍醫大學學報,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. 李劍鋒,楊帆,李運,等.連續100例全胸腔鏡下肺葉切除術的臨床分析.中國胸心外科血管雜志,2009,16(1):1-4.
2. 易俊,董國華,許飚,等.達芬奇-S外科手術輔助系統在普胸外科的應用.醫學研究生學報,201l,24:696-699.
3. 嵇武.手術機器人的應用進展與前景展望.醫學研究生學報,2010,23:994-998.
4. 陳秀,韓冰,郭巍,等.Da Vinci S手術機器人在胸外科應用的初步經驗.中國醫師雜志,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,許瑞彬.胸腔鏡在胸部疾病診療中的發展及臨床應用.臨床肺科雜志,2013,18(9):1669-1670.
7. 黃志強.21世紀外科從2D到3D一從腹腔鏡到機器人.中華普外科手術學雜志,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. 丁愛玲,詹翠萍,李翠媚,等.肋間神經冷凍術預防胸部手術后疼痛的手術配合.護士進修雜志,2005,20(5):454-455.
11. 劉君,何建行,黃俊,等.VATS術與SPT術對肺癌患者機體創傷的對比研究.中國腫瘤外科雜志,2009,l(1):33-35.
12. 張愛華.胸外科患者術后疼痛的護理.齊齊哈爾醫學院學報,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. 徐兆紅,宋成利,閆士舉.機器人在微創外科手術中的應用.中國組織工程研究與臨床康復,2011,15(35):6598-6601.
19. 楊波,王輝清,肖亮,等.機器人單孔腹腔鏡下行豬腎部分切除術及腎盂輸尿管成形術的初步嘗試.第二軍醫大學學報,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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