RT journal article
T1 Comparison of uniportal robotic-assisted thoracic surgery pulmonary anatomic resections with multiport robotic-assisted thoracic surgery: a multicenter study of the European experience
A1 Manolache, Veronica
A1 Motas, Natalia
A1 Bosinceanu, Mugurel Liviu
A1 de la Torre, Mercedes
A1 Gallego Poveda, Javier
A1 Dunning, Joel
A1 Ismail, Mahmoud
A1 Turna, Akif
A1 Paradela, Marina
A1 Decker, Georges
A1 Ramos, Ricard
A1 Bodner, Johanes
A1 Espinosa Jiménez, Dionisio
A1 Zardo, Patrick
A1 Garcia Perez, Alejandro
A1 Ureña Lluveras, Anna
A1 Pantile, Daniel
A1 Gonzalez-Rivas, Diego
A2 Cirugía
K1 lung cancer
K1 multiport robotic-assisted thoracic surgery (M-RATS)
K1 robotic lung resections
K1 Uniportal robotic-assisted thoracic surgery (U-RATS)
AB Background: Robotic-assisted thoracic surgery (RATS) has seen increasing interest in the last few years, with most procedures primarily being performed in the conventional multiport manner. Our team has developed a new approach that has the potential to convert surgeons from uniportal video-assisted thoracic surgery (VATS) or open surgery to robotic-assisted surgery, uniportal-RATS (U-RATS). We aimed to evaluate the outcomes of one single incision, uniportal robotic-assisted thoracic surgery (U-RATS) against standard multiport RATS (M-RATS) with regards to safety, feasibility, surgical technique, immediate oncological result, postoperative recovery, and 30-day follow-up morbidity and mortality. Methods: We performed a large retrospective multi-institutional review of our prospectively curated database, including 101 consecutive U-RATS procedures performed from September 2021 to October 2022, in the European centers that our main surgeon operates in. We compared these cases to 101 consecutive M-RATS cases done by our colleagues in Barcelona between 2019 to 2022. Results: Both patient groups were similar with respect to demographics, smoking status and tumor size, but were significantly younger in the U-RATS group [M-RATS =69 (range, 39–81) years; U-RATS =63 years (range, 19–82) years; P<0.0001]. Most patients in both operative groups underwent resection of a primary non-small cell lung cancer (NSCLC) [M-RATS 96/101 (95%); U-RATS =60/101 (59%); P<0.0001]. The main type of anatomic resection was lobectomy for the multiport group, and segmentectomy for the U-RATS group. In the M-RATS group, only one anatomical segmentectomy was performed, while the U-RATS group had twenty-four (24%) segmentectomies (P=0.0006). All M-RATS and U-RATS surgical specimens had negative resection margins (R0) and contained an equivalent median number of lymph nodes available for pathologic analysis [M-RATS =11 (range, 5–54); U-RATS =15 (range, 0–41); P=0.87]. Conversion rate to thoracotomy was zero in the U-RATS group and low in M-RATS [M-RATS =2/101 (2%); U-RATS =0/101; P=0.19]. Median operative time was also statistically different [M-RATS =150 (range, 60–300) minutes; U-RATS =136 (range, 30–308) minutes; P=0.0001]. Median length of stay was significantly lower in U-RATS group at four days [M-RATS =5 (range, 2–31) days; U-RATS =4 (range, 1–18) days; P[removed]
PB AME Publishing Company
SN 2225-319X
YR 2023
FD 2023-03
LK http://hdl.handle.net/10498/29796
UL http://hdl.handle.net/10498/29796
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-nov-2026