ArticleJournal of thoracic disease2018
Postoperative morphine consumption and anaesthetic management of patients undergoing video-assisted or robotic-assisted lung resection: a prospective, propensity score-matched study.
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Impact of modern minimally invasive approaches on pulmonary resection outcomes: a narrative review.Journal of thoracic disease · 2026Review
- Comparative effectiveness of robotic and video assisted thoracic surgery for lung cancer across key outcomes.iScience · 2026Article
- Robotic Versus Video-Assisted Thoracoscopic Lobectomy/Segmentectomy: Multilevel Analysis in Japan.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Analysis of First 50 Robotic-Assisted Thoracic Surgeries in a University Teaching Hospital: Anesthetic Considerations and Postoperative Outcomes.Annals of cardiac anaesthesia · 2025Article
- Pain Management Approaches for Robotic-Assisted Thoracic Surgery: A Retrospective Analysis.Journal of pain research · 2025Article
- Effectiveness of Surgeon-Performed Paravertebral Block Analgesia for Minimally Invasive Thoracic Surgery: A Randomized Clinical Trial.JAMA surgery · 2023Article
- Opioid prescription guideline is important to enhanced recovery after thoracic surgery protocol.Journal of thoracic disease · 2023Article
- Experimental Study on the Central Mechanism of Penehyclidine Hydrochloride against Relapse Behavior in Morphine-Dependent Rats.Applied bionics and biomechanics · 2022Article
- Liposomal Bupivacaine Versus Bupivacaine Hydrochloride for Intercostal Nerve Blockade in Minimally Invasive Thoracic Surgery.Journal of cardiothoracic and vascular anesthesia · 2021Observational
- Comparison of several methods for pain management after video-assisted thoracic surgery for pneumothorax: an observational study.BMC anesthesiology · 2019Observational
- Complemental analysis about postoperative opioid consumption between video-assisted thoracic surgery (VATS) and robotic-assisted thoracic surgery (RATS) for early-stage lung cancer.Journal of thoracic disease · 2018Article
- Video-assisted thoracoscopic surgery versus robotic-assisted thoracoscopic surgery and postoperative opioid consumption.Journal of thoracic disease · 2018Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic assistance is increasingly being used for treatment of early stage of non-small cell lung cancer. Our objectives were to compare the morphine consumption during the postoperative 48 hours after robotic-assisted thoracic surgery and that after video-assisted thoracic surgery as well as compare the patient's haemodynamic and respiratory function during the procedures.
methodsThis observational, prospective study was conducted in a single referral centre for thoracic surgery from January 2016 to March 2017. Patients who were scheduled to undergo surgical lung resection were included. A propensity score based on age, sex, American society of Anesthesiology score was used between groups. Linear regression analyses were used to determine the mean difference in the postoperative morphine consumption. We also compared the haemodynamic and respiratory function during the two procedures.
resultsAmong the 194 patients included, 105 (54%) and 89 (46%) underwent video and robotic surgery, respectively. Total 75 of each group were matched using the propensity score. The consumption of morphine was 23.0 (16.5-39.0) mg and 33.0 (19.3-46.5) mg (P=0.05) in the video and robotic groups, respectively. Linear regression revealed an average difference β (95% CI) of 6.76 mg (0.32-13.26) (P=0.04) in the morphine consumption after adjusting for the body mass index and local anaesthetic use. Robotic surgery was associated with worse haemodynamic and respiratory function than video surgery.
conclusionsAs compared with video, robotic surgery was associated with increased use of morphine and greater alteration in the haemodynamic and respiratory functions.
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