Early experience and learning curve of anatomatic lung resection by robotic-assisted thoracoscopic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TANG Jian ,  YU Bentong , LIU Sheng , XU Qirong , YUAN Bin , LIU Jichun

Department of Cardiathoracic Surgery, The First Affiliated Hospital, Nanchang University, Nanchang, 330006, P.R.China;

Corresponding?author：

YU Bentong, Email: yubentong@126.com

Keywords：

Anatomatic lung resection; robot-assisted thoracoscopic surgery; learning curve; da Vinci surgical system

DOI：

10.7507/1007-4848.201607008

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo summarize the surgical learning curve and evaluate the effectiveness, safety and feasibility of the robotic-assisted thoracoscopic surgery (RATS) by comparing with the conventional vedio-assisted thoracoscopic surgery (VATS).MethodsThe clinical data of 40 patients receiving robotic assisted thoracoscopic anatomic lung resection from March to June 2016 in our department were reviewed. There were 29 males and 11 females with the age of 54-78 (60.2±12.7) years in the RATS group, and 27 males and 10 females with the age of 52-76 (58.7±11.5) years in the VATS group. Lung space-occupying lesions were comfirmed by preoperative diagnosis. The operative time, blood loss, chest tube retention time, postoperative hospital stay and perioperative morbidity and mortality were analyzed. The safety and feasibility were evaluated, and the learning curve was summed up.ResultsOperative time, postoperative ventilation time, intraoperative blood loss, chest tube retention time, postoperative pain, average hospital stay, postoperative complication rate between two groups were not statistically significant. In the RATS group preoperative preparation time was longer than that of the VATS group (24.5 min vs. 15.6 min, P=0.003), and the rate of conversion to thoracotomy of the RATS group was lower than that of the VATS group (0 vs. 10.8%). There was no perioperative death in two groups.ConclusionRobotic-assisted thoracic surgery is safe and effective in the early learning process, and the learning curve can be entered into the standard stage from the learning stage after initial 10 operations.

Citation： TANG Jian, YU Bentong, LIU Sheng, XU Qirong, YUAN Bin, LIU Jichun. Early experience and learning curve of anatomatic lung resection by robotic-assisted thoracoscopic surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(7): 533-537. doi: 10.7507/1007-4848.201607008 Copy

1.	Mckenna RJ, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-426.
2.	范盛浩, 葛建明, 謝廷洪, 等. 電視胸腔鏡與傳統開胸肺葉切除術治療原發性非小細胞肺癌. 中國胸心血管外科臨床雜志, 2009, 16(6): 449-453.
3.	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. 中國胸心血管外科臨床雜志, 2009, 16(1): 1-5.
4.	楊帆, 李曉, 王俊, 等. 連續 300 例全胸腔鏡肺葉切除術及中期隨訪分析. 中國胸心血管外科臨床雜志, 2011(02): 95-98.
5.	田界勇, 馬冬春, 徐美清, 等. 全胸腔鏡肺葉切除術治療周圍型肺癌的臨床分析. 中國胸心血管外科臨床雜志, 2012, 19(5): 479-483.
6.	Ambrogi MC, Fanucchi O, Melfi F, et al. Robotic surgery for lung cancer. Korean J Thorac Cardiovasc Surg, 2014, 47(3): 201-210.
7.	蒲強, 馬林, 車國衛, 等. 單向式胸腔鏡肺葉切除安全性及技術可行性研究——附 1 040 例報告. 四川大學學報(醫學版), 2013, 44(1): 109-113.
8.	王述民, 汪誠風. 淺談達芬奇機器人手術系統與電視胸腔鏡系統在胸外科肺葉切除術中優劣. 臨床軍醫雜志, 2016, 44(6): 551-555.
9.	丁仁泉, 童向東, 許世廣, 等. 達芬奇機器人手術系統與電視胸腔鏡在胸內縱隔疾病手術治療中的對比研究. 中國肺癌雜志. 2014, 17(7): 557-562.
10.	Park BJ, Melfi F, Mussi A, et al. Robotic lobectomy for non-small cell lung cancer (NSCLC): Long-term oncologic results. J Thorac Cardiovasc Surg, 2012, 143(2): 383-389.
11.	Cerfolio RJ, Bryant AS, Skylizard L, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg, 2011, 142(4): 740-746.
12.	Melfi FM, Menconi GF, Mariani AM, et al. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg, 2002, 21(5): 864-868.
13.	Zhang L, Gao S. Robot-assisted thoracic surgery versus open thoracic surgery for lung cancer: a system review and meta-analysis. Int J Clin Exp Med, 2015, 8(10): 17804-17810.
14.	Demir A, Ayalp K, Ozkan B, et al. Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions. Interact Cardiovasc Thorac Surg, 2015, 20(3): 304-309.
15.	Veronesi G, Agoglia B G, Melfi F, et al. Experience with robotic lobectomy for lung cancer. Innovations (Phila), 2011, 6(6): 355-360.
16.	Meyer M, Gharagozloo F, Tempesta B, et al. The learning curve of robotic lobectomy[J]. Int J Med Robot, 2012, 8(4): 448-452.
17.	Toker A, Ozyurtkan M O, Kaba E, et al. Robotic anatomic lung resections: the initial experience and description of learning in 102 cases. Surg Endosc, 2016, 30(2): 676-683.

1. Mckenna RJ, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-426.
2. 范盛浩, 葛建明, 謝廷洪, 等. 電視胸腔鏡與傳統開胸肺葉切除術治療原發性非小細胞肺癌. 中國胸心血管外科臨床雜志, 2009, 16(6): 449-453.
3. 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. 中國胸心血管外科臨床雜志, 2009, 16(1): 1-5.
4. 楊帆, 李曉, 王俊, 等. 連續 300 例全胸腔鏡肺葉切除術及中期隨訪分析. 中國胸心血管外科臨床雜志, 2011(02): 95-98.
5. 田界勇, 馬冬春, 徐美清, 等. 全胸腔鏡肺葉切除術治療周圍型肺癌的臨床分析. 中國胸心血管外科臨床雜志, 2012, 19(5): 479-483.
6. Ambrogi MC, Fanucchi O, Melfi F, et al. Robotic surgery for lung cancer. Korean J Thorac Cardiovasc Surg, 2014, 47(3): 201-210.
7. 蒲強, 馬林, 車國衛, 等. 單向式胸腔鏡肺葉切除安全性及技術可行性研究——附 1 040 例報告. 四川大學學報(醫學版), 2013, 44(1): 109-113.
8. 王述民, 汪誠風. 淺談達芬奇機器人手術系統與電視胸腔鏡系統在胸外科肺葉切除術中優劣. 臨床軍醫雜志, 2016, 44(6): 551-555.
9. 丁仁泉, 童向東, 許世廣, 等. 達芬奇機器人手術系統與電視胸腔鏡在胸內縱隔疾病手術治療中的對比研究. 中國肺癌雜志. 2014, 17(7): 557-562.
10. Park BJ, Melfi F, Mussi A, et al. Robotic lobectomy for non-small cell lung cancer (NSCLC): Long-term oncologic results. J Thorac Cardiovasc Surg, 2012, 143(2): 383-389.
11. Cerfolio RJ, Bryant AS, Skylizard L, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg, 2011, 142(4): 740-746.
12. Melfi FM, Menconi GF, Mariani AM, et al. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg, 2002, 21(5): 864-868.
13. Zhang L, Gao S. Robot-assisted thoracic surgery versus open thoracic surgery for lung cancer: a system review and meta-analysis. Int J Clin Exp Med, 2015, 8(10): 17804-17810.
14. Demir A, Ayalp K, Ozkan B, et al. Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions. Interact Cardiovasc Thorac Surg, 2015, 20(3): 304-309.
15. Veronesi G, Agoglia B G, Melfi F, et al. Experience with robotic lobectomy for lung cancer. Innovations (Phila), 2011, 6(6): 355-360.
16. Meyer M, Gharagozloo F, Tempesta B, et al. The learning curve of robotic lobectomy[J]. Int J Med Robot, 2012, 8(4): 448-452.
17. Toker A, Ozyurtkan M O, Kaba E, et al. Robotic anatomic lung resections: the initial experience and description of learning in 102 cases. Surg Endosc, 2016, 30(2): 676-683.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Early experience and learning curve of anatomatic lung resection by robotic-assisted thoracoscopic surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content