Khirurgiia · 2025
[Robotic and thoracoscopic surgeries for anterior mediastinal neoplasms].
Аннотация на английскомСтатьяНазвание и аннотация: Оригинал на русском
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Bagatelia Z A, Parshin V D, Grekov D N, Glotov E M, Yakomaskin V N, Lebedev S S, Chekini A K, Chetverikova E A
Аннотация
OBJECTIVE: To evaluate the efficacy and safety of robot-assisted (RATS) and video-assisted thoracoscopic (VTS) minimally invasive surgeries for anterior mediastinal neoplasms.
MATERIAL AND METHODS: The study involved 74 patients who underwent surgeries for anterior mediastinal neoplasms between 2020 and 2023. Patients were divided into two groups: group 1 (RATS, 33 patients) and group 2 (VTS, 41 patients). The following parameters were evaluated: surgery time, incidence of postoperative complications, pain syndrome and recovery time.
RESULTS: Duration of RATS was significantly shorter (mean 120 min) compared to VTS (140 min) (p< 0.05). Postoperative pain was also lower in the RATS group (4.5 vs. 6.0 points) (p< 0.05). The incidence of complications was lower in the same group that contributed to earlier recovery.
CONCLUSION: Robot-assisted surgeries are preferable for anterior mediastinal tumors. The advantages of RATS include shorter surgery time, lower pain and complication rate. Thus, this approach is more advisable in high-risk patients.
MATERIAL AND METHODS: The study involved 74 patients who underwent surgeries for anterior mediastinal neoplasms between 2020 and 2023. Patients were divided into two groups: group 1 (RATS, 33 patients) and group 2 (VTS, 41 patients). The following parameters were evaluated: surgery time, incidence of postoperative complications, pain syndrome and recovery time.
RESULTS: Duration of RATS was significantly shorter (mean 120 min) compared to VTS (140 min) (p< 0.05). Postoperative pain was also lower in the RATS group (4.5 vs. 6.0 points) (p< 0.05). The incidence of complications was lower in the same group that contributed to earlier recovery.
CONCLUSION: Robot-assisted surgeries are preferable for anterior mediastinal tumors. The advantages of RATS include shorter surgery time, lower pain and complication rate. Thus, this approach is more advisable in high-risk patients.