Evidence map›Paper›PMID 27499971›Full record

ArticleJournal of thoracic disease2016

Comparison of robotic and video-assisted thoracic surgery for lung cancer: a propensity-matched analysis.

Feichao Bao, Chong Zhang, Yunhai Yang, Zhehao He, Luming Wang, Jian Hu

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  5. Evaluation of the efficacy and safety of robot-assisted and video assisted thoracic surgery for early non-small cell lung cancer: A meta-analysis.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
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  17. Place of robotic surgery in completion lobectomy after anatomical segmentectomy.Interdisciplinary cardiovascular and thoracic surgery · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Feichao BaoDepartment of Thoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China.
Chong ZhangDepartment of Thoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China.
Yunhai YangDepartment of Thoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China.
Zhehao HeDepartment of Thoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China.
Luming WangDepartment of Thoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China.
Jian HuDepartment of Thoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReports of comparison between robotic and thoracoscopic surgery for lung cancer are limited, we aimed to compare the perioperative outcomes of robotic and thoracoscopic anatomic pulmonary resection for lung cancer.

methodsA total of 184 patients with lung cancer underwent anatomic pulmonary resection by robotics or thoracoscopy. A propensity-matched analysis with incorporated preoperative variables was used to compare the perioperative outcomes between the two procedures.

resultsOverall, 71 patients underwent robotic pulmonary resection, including 64 lobectomies and 7 segmentectomies, while 113 patients underwent thoracoscopic lobectomy and segmentectomy. Propensity match produced 69 pairs. The mean length of postoperative stay (7.6±4.6 vs. 6.4±2.6 d, P=0.078), chest tube duration (5.3±3.7 vs. 4.4±1.7 d, P=0.056), number of lymph nodes retrieved (17.9±6.9 vs. 17.4±7.0, P=0.660), stations of lymph nodes resected (7.4±1.6 vs. 7.6±1.7, P=0.563), operative blood loss (53.9±29.3 vs. 50.3±37.9 mL, P=0.531), morbidity rates (42.0% vs. 30.4%, P=0.157) were similar between the robotics and thoracoscopy. However, robotics was associated with higher cost ($12,067±1,610 vs. $8,328±1,004, P<0.001), and longer operative time (136±40 vs. 111±28 min, P<0.001).

conclusionsRobotics seems to have higher hospital costs and longer operative time, without superior advantages in morbidity rates and oncologic efficiency. Further prospective randomized clinical trials were needed to validate both of its short- and long-term oncologic efficiency.

Indexed as

lung cancerRoboticsvideo-assisted thoracic surgery (VATS)

Identifiers

PMID27499971
PMCPMC4958846

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.