ArticleJournal of cardiothoracic surgery2018
Robotic lobectomy has the greatest benefit in patients with marginal pulmonary function.
Article in Journal of cardiothoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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28 citing papers in PubMed, 44 citations in OpenAlex.
- Article
- Development and validation of risk factors prediction model for hypoxemia in the PACU patients after major abdominal surgery: a retrospective study.Frontiers in medicine · 2026Article
- Robot-assisted thoracic surgery (RATS): learning curve and outcomes for 200 consecutive pulmonary lobectomies in a Norwegian hospital.Journal of thoracic disease · 2025Article
- Robotic Bronchoplasty for Iatrogenic Bronchial Rupture After Endotracheal Tube Placement.Annals of thoracic surgery short reports · 2024Article
- Article
- Comparison of Robotic and Open Lobectomy for Lung Cancer in Marginal Pulmonary Function Patients: A Single-Centre Retrospective Study.Current oncology (Toronto, Ont.) · 2023Article
- Review
- Impact of robotic access on outcomes after lung cancer surgery in France: Analysis from the Epithor database.JTCVS open · 2023Article
- The impact of an enhanced recovery after surgery pathway for video-assisted and robotic-assisted lobectomy on surgical outcomes and costs: a retrospective single-center cohort study.Journal of robotic surgery · 2023Article
- Prolonged air leak after robotic lung resection: a narrative review.Journal of thoracic disease · 2023Review
- Effect of PDCA circulation nursing intervention on prognosis of patients with severe pneumonia.American journal of translational research · 2022Article
- The impact of marginal lung function on outcomes in the era of minimally invasive thoracic surgery.Journal of thoracic disease · 2021Article
- The evolution of operative access in lung surgery.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2021Review
- Overview of the outcomes of robotic segmentectomy and lobectomy.Journal of thoracic disease · 2021Review
- Robotic Surgery for Non-Small Cell Lung Cancer Treatment in High-Risk Patients.Journal of clinical medicine · 2021Article
- Quality of Life, Postoperative Pain, and Lymph Node Dissection in a Robotic Approach Compared to VATS and OPEN for Early Stage Lung Cancer.Journal of clinical medicine · 2021Article
- Rural barriers to early lung cancer detection: Exploring access to lung cancer screening programs in New Hampshire and Vermont.American journal of surgery · 2021Article
- Estimating the risk of conversion from video-assisted thoracoscopic lung surgery to thoracotomy-a systematic review and meta-analysis.Journal of thoracic disease · 2021Article
- A Prediction Model for Postoperative Pulmonary Complication in Pulmonary Function-Impaired Patients Following Lung Resection.Journal of multidisciplinary healthcare · 2021Article
- The effect of EBN combined with integrated hierarchical accountability nursing on patients with severe pneumonia.American journal of translational research · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with limited pulmonary function have a high risk for pulmonary complications following lobectomy. Robotic approach is currently the least invasive approach. We hypothesized that robotic lobectomy may be of particular benefit in high-risk patients.
methodsWe reviewed our institutional Society of Thoracic Surgeons (STS) data on lobectomy patients from 2012 to 2017. Postoperative outcomes were compared between robotic and open lobectomy groups. High-risk patients were identified by pulmonary function test. Risk of pulmonary complication was assessed by binary logistic regression analysis.
resultsA total of 599 patients underwent lobectomy by robotic (n = 287), or by open (n = 312) approach, including 189 high-risk patients. Robotic lobectomy patients had a lower rate of prolonged air leak (6% vs. 10%, p = 0.047), less atelectasis requiring bronchoscopy (6% vs. 16%, p = 0.02), pneumonia (3% vs. 8%, p = 0.01), and shorter length of stay (4 vs. 6 days, p = 0.001). Overall pulmonary complication rate was significantly lower after robotic lobectomy in high-risk patients (28% vs. 45%, p = 0.02), less in intermediate or low risk patients. No significant difference was seen relative to major complication rate (12% vs. 17%, p = 0.09). After multivariate analysis, when adjusting for age, gender, smoking history, FEV1, DLCO, cardiopulmonary comorbidities, and prior chest surgery, the robotic approach remained independently associated with decreased pulmonary complications (odds ratio 0.54, 95% confidence interval [0.34-0.85], p = 0.008).
conclusionsRobotic lobectomy has the potential to decrease the risk of postoperative pulmonary complication as compared with traditional open thoracotomy. In particular, patients with limited pulmonary function derive the most benefit from a robotic approach.
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