ArticleInteractive cardiovascular and thoracic surgery2021
Comparison between robot-assisted thoracoscopic surgery and video-assisted thoracoscopic surgery for mediastinal and hilar lymph node dissection in lung cancer surgery.
Article in Interactive cardiovascular and thoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Incidence and management outcomes of chylothorax after pulmonary resection for primary lung cancer: a systematic review and meta-analysis.Frontiers in oncology · 2026Pooled it
- Robot-assisted thoracoscopic fissureless fissure-last approach versus conventional interlobar method for left lower lobectomy in lung cancer: a comparative study of short-term outcomes.General thoracic and cardiovascular surgery · 2026Article
- Article
- Short-term perioperative outcomes of multi-arm uniportal robotic-assisted versus uniportal video-assisted thoracoscopic segmentectomy for stage IA NSCLC: a propensity score-matched study.Journal of robotic surgery · 2026Article
- Radicality of mediastinal lymphadenectomy in anatomic lung resection for lung cancer: a comparative analysis of uniportal video-assisted thoracoscopic and robotic-assisted thoracoscopic approaches.Surgical endoscopy · 2026Article
- Comparison of thoracotomy conversion rates and causes between VATS and RATS for primary lung cancer: a retrospective cohort study.General thoracic and cardiovascular surgery · 2026Article
- Hilar Lymphadenectomy Is Associated With Improved Disease-Free Survival in Pathologically N0 Non-Small Cell Lung Cancer.World journal of surgery · 2026Article
- Early outcomes of subcostal four-arm robotic pulmonary resection and mediastinal lymph node dissection for non-small cell lung cancer.Journal of robotic surgery · 2026Article
- Evaluation of lymph nodes in various surgical approaches for clinical N0 lung cancer: a systematic review and network meta-analysis.International journal of surgery (London, England) · 2026Article
- Perioperative outcomes of robot-assisted versus video-assisted thoracoscopic surgery for non-small cell lung cancer: a meta-analysis focusing on real-world clinical studies in the past 10 years.Frontiers in oncology · 2026Article
- Minimally invasive segmentectomy for non-small cell lung cancer (NSCLC): a comparative analysis of robotic and thoracoscopic approaches.BMC surgery · 2025Article
- Biportal-RATS vs. Uniportal-VATS for Lung Resections: A Propensity Score-Matched Analysis from Early Experience.Journal of clinical medicine · 2025Article
- Occult Node Detection With Lobectomy Versus Segmentectomy for Stage IA NSCLC.JTO clinical and research reports · 2025Article
- Comparison of short-term outcomes between multi-arm uniportal and multiport robotic-assisted thoracoscopic surgery based on propensity score matching.World journal of surgical oncology · 2025Article
- Robotic-assisted mediastinal lymphadenectomy in lung cancer: a narrative review.Journal of robotic surgery · 2025Review
- Subcostal uniportal robotic anatomic lung resection: A pilot trial.JTCVS techniques · 2024Article
- A comparative study of robot-assisted thoracoscopic surgery and conventional approaches for short-term outcomes of anatomical segmentectomy.General thoracic and cardiovascular surgery · 2024Article
- Postoperative leukocyte counts as a surrogate for surgical stress response in matched robot- and video-assisted thoracoscopic surgery cohorts of patients: A preliminary report.Journal of robotic surgery · 2024Article
- Surgical access to the mediastinum-Mediastinum (Hong Kong, China) · 2024Review
- Outcomes of robotic lobectomy for non-small cell lung cancer in a National Cancer Institute-Comprehensive Cancer CenterJournal of thoracic disease · 2023Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesLymph node dissection (LND) with robot-assisted thoracoscopic surgery (RATS) in lung cancer surgery has not been fully evaluated. The aim of this study was to compare LND surgical results between video-assisted thoracoscopic surgery (VATS) and RATS.
methodsWe retrospectively compared perioperative parameters, including the incidence of LND-associated complications (chylothorax, recurrent and/or phrenic nerve paralysis and bronchopleural fistula), lymph node (LN) counts and postoperative locoregional recurrence, among 390 patients with primary lung cancer who underwent lobectomy and mediastinal LND by RATS (n = 104) or VATS (n = 286) at our institution.
resultsThe median total dissected LN numbers significantly differed between the RATS and the VATS groups (RATS: 18, VATS: 15; P < 0.001). They also significantly differed in right upper zone and hilar (#2R + #4R + #10L) (RATS: 12, VATS: 10; P = 0.002), left lower paratracheal and hilar (#4L + #10L) (RATS: 4, VATS: 3; P = 0.019), aortopulmonary zone (#5 + #6) (RATS: 3, VATS: 2; P = 0.001) and interlobar and lobar (#11 + #12) LNs (RATS: 7, VATS: 6; P = 0.041). The groups did not significantly differ in overall nodal upstaging (P = 0.64), total blood loss (P = 0.69) or incidence of LND-associated complications (P = 0.77).
conclusionsIn this comparison, it was suggested that more LNs could be dissected using RATS than VATS, especially in bilateral superior mediastinum and hilar regions. Accumulation of more cases and longer observation periods are needed to verify whether RATS can provide the acceptable quality of LND and local control of lung cancer.
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