ArticleSurgery today2025
Clinicopathological features and perioperative outcomes of robot-assisted thoracoscopic surgery for primary lung cancer: An analysis of initial outcomes based on the National Clinical Database.
Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- The expert consensus document on minimally invasive upper lobectomy for lung cancer in China.Journal of thoracic disease · 2026Review
- Initial surgical results of subcostal uniportal robotic lung resection: a study of the perioperative outcomes and a CUSUM analysis of the learning curve.Surgery today · 2026Article
- CellVizioJournal of Cancer · 2026Article
- Impact of robotic-assisted versus video-assisted thoracoscopic surgery on efficacy and quality of life in patients with pulmonary opacities: a propensity score-matched analysis.Frontiers in oncology · 2025Article
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Authors and funding
7 authors.
Funding
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Abstract
purposeTo analyze the clinicopathological features and perioperative outcomes of patients who underwent robot-assisted thoracoscopic surgery (RATS) for primary lung cancer in the initial period after insurance approval in Japan.
methodsThe data source was the National Clinical Database, using four annual datasets (2018, 2019, 2020, and 2021) that included information on individuals who underwent lobectomy with lymph-node dissection via robot-assisted thoracoscopic surgery for primary lung cancer. Clinicopathological features and perioperative outcomes by year were analyzed descriptively.
resultsThe median console time was reduced by 22 min from 2018 to 2021 (from 171 min to 149 min, respectively). The median overall operative time was also reduced by 29 min from 2018 to 2021 (from 245 min to 216 min, respectively). The conversion rate from robotic to other approaches was 3.5% in 2018 and 2.4% in 2021, with the frequency decreasing each year. The incidence of postoperative complications ranged from 14.6% to 16.6%, and the 90-day mortality rate ranged from 0.3% to 0.5%, with no remarkable change within the study period.
conclusionsThe initial perioperative outcomes of RATS for lung cancer in Japan were favorable. Further accumulation of cases and comparative analyses of long-term outcomes with other approaches are expected.
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