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Robotic versus thoracoscopic lung resection: A systematic review and meta-analysis.

Abstract Robotic video-assisted surgery (RVATS) has been reported to be equally effective to video-assisted surgery (VATS) in lung resection (pneumonectomy, lobectomy, and segmentectomy). Operation time, mortality, drainage duration, and length of hospitalization of patients undergoing either RVATS or VATS are compared in this meta-analysis.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28858083
OWN - NLM
STAT- MEDLINE
DA  - 20170831
DCOM- 20170911
LR  - 20170912
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 35
DP  - 2017 Sep
TI  - Robotic versus thoracoscopic lung resection: A systematic review and
      meta-analysis.
PG  - e7633
LID - 10.1097/MD.0000000000007633 [doi]
AB  - BACKGROUND: Robotic video-assisted surgery (RVATS) has been reported to be
      equally effective to video-assisted surgery (VATS) in lung resection
      (pneumonectomy, lobectomy, and segmentectomy). Operation time, mortality,
      drainage duration, and length of hospitalization of patients undergoing either
      RVATS or VATS are compared in this meta-analysis. METHODS: A systematic research 
      for articles meeting our inclusion criteria was performed using the PubMed
      database. Articles published from January 2011 to January 2016 were included. We 
      used results of reported mortality, operation time, drainage duration, and
      hospitalization length for performing this meta-analysis. Mean difference and
      logarithmic odds ratio were used as summary statistics. RESULTS: Ten studies
      eligible were included into this analysis (5 studies for operation time, 3
      studies for chest in tube days, 4 studies for length of hospitalization, and 6
      studies for mortality). We were able to include 3375 subjects for RVATS and
      58,683 subjects for VATS. Patients were mainly treated for lung cancer,
      metastatic foci, and benign lesions. We could not detect any difference between
      operation time; however, we found 2 trends showing that drainage duration and
      length of hospitalization are shorter for following RVATS than for following
      VATS. Mortality also is lower in patients undergoing RVATS. CONCLUSIONS:
      Therefore, we conclude that RVATS is a suitable minimal-invasive procedure for
      lung resection and suitable alternative to VATS. RVATS is as time-efficient as
      VATS and shows a trend to reduced hospital stay and drainage duration. More and
      better studies are required to provide reliable, unbiased evidence regarding the 
      relative benefits of both methods.
FAU - Emmert, Alexander
AU  - Emmert A
AD  - aDepartment of Thoracic and Cardiovascular Surgery bDepartment of Haematology and
      Oncology cDepartment of Medical Statistics, University Medical Center,
      Georg-August University, Gottingen, Germany.
FAU - Straube, Carmen
AU  - Straube C
FAU - Buentzel, Judith
AU  - Buentzel J
FAU - Roever, Christian
AU  - Roever C
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Humans
MH  - Lung Neoplasms/pathology/*surgery
MH  - Pneumonectomy/*methods
MH  - Robotic Surgical Procedures/methods
MH  - Thoracic Surgery, Video-Assisted/methods
MH  - Treatment Outcome
PMC - PMC5585477
EDAT- 2017/09/01 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/09/01 06:00
AID - 10.1097/MD.0000000000007633 [doi]
AID - 00005792-201709010-00007 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Sep;96(35):e7633. doi: 10.1097/MD.0000000000007633.