The international journal of medical robotics + computer assisted surgery : MRCAS · 2026
Influence of Robotic and Thoracoscopic Surgery on Early Postoperative Systemic Inflammatory Response in Patients With Surgically Treated Lung Cancer-Preliminary Results.
СтатьяНазвание и аннотация: Перевод в очереди
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Ureña Anna, Quiroga Nestor I, Boada Marc, Michavila Xavier, Botias Irene, Guirao Angela, Guzman Rudith, Calderon Andrea, Molins Laureano, Arguis Maria Jose, Navarro-Ripoll Ricard, Ramos Ricard
Аннотация
BACKGROUND: Minimally invasive approaches such as video-assisted (VATS) and robotic-assisted thoracoscopic surgery (RATS) offer less traumatic alternatives for the treatment of lung cancer. This study compares the early postoperative inflammatory response and complication rates between both techniques in patients undergoing lung resection for non-small cell lung cancer (NSCLC).
METHODS: A retrospective review was conducted on patients between 2022 and 2023. Inflammatory markers, including lymphocytes, monocytes, neutrophils, platelets, and derived ratios (PLR, NLR), were analysed.
RESULTS: RATS was associated with significantly higher postoperative inflammatory markers (PLR, p = 0.007; NLR, p = 0.019) and greater perioperative variation (ΔPLR and ΔNLR, p = 0.028). However, no significant association was found between surgical technique or inflammation and the incidence of postoperative complications or persistent air leak (PAL).
CONCLUSIONS: RATS induces a stronger early inflammatory response than VATS, but this does not associate with a higher rate of complications or PAL.
METHODS: A retrospective review was conducted on patients between 2022 and 2023. Inflammatory markers, including lymphocytes, monocytes, neutrophils, platelets, and derived ratios (PLR, NLR), were analysed.
RESULTS: RATS was associated with significantly higher postoperative inflammatory markers (PLR, p = 0.007; NLR, p = 0.019) and greater perioperative variation (ΔPLR and ΔNLR, p = 0.028). However, no significant association was found between surgical technique or inflammation and the incidence of postoperative complications or persistent air leak (PAL).
CONCLUSIONS: RATS induces a stronger early inflammatory response than VATS, but this does not associate with a higher rate of complications or PAL.