Robotic Surgery for Bronchial Sleeve Lobectomy: A Systematic Review and Bayesian Network Meta-Analysis.

BACKGROUND

To investigate the effect of Robotic Assisted Thoracoscopic Surgery (RATS) in comparison to Video Assisted Thoracoscopic Surgery (VATS) and Open Thoracotomy (OP) in bronchial sleeve lobectomy (BSL) by Bayesian network meta-analysis.

METHODS

After searching Pubmed, the Cochrane Library and Embase for research, 7 papers with 776 individuals with central non-small cell lung cancer that required BSL were found. Data for analysis entailed intraoperative outcomes, complications, and long-term survival.

RESULTS

The RATS group exhibited a shorter operation time, diminished intraoperative blood loss, and reduced postoperative drainage time without an elevation in the frequency of postoperative complications; in Additionally, the RATS group demonstrated an equivalent postoperative long-term survival rate when juxtaposed with the VATS and OP groups.

CONCLUSIONS

Compared with VATS and OP in BSL, RATS has a better intraoperative application effect, less surgical impact and the same long-term survival rate. RATS has emerged as a viable and potentially favoured surgical approach for BSL.