The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
Quality of Lymph Node Dissection in Lung Cancer Surgery: A Comparative Analysis of Robotic-Assisted Versus Video-Assisted Thoracic Surgery Using Novel Pathological Criteria.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Deceuninck Adrien, Thiebaut Pierre-Alain, Bubenheim Michael, Aguir Sonia, Bottet Benjamin, Dujon Antoine, Couralet Mathias, Melki Jean, Sarsam Matthieu, Sabourin Jean-Christophe, Guisier Florian, Baste Jean-Marc, Piton Nicolas
Аннотация
BACKGROUND: Lymph node dissection is essential for lung cancer staging and treatment planning. This study compares the extent and quality of lymph node dissection between robot-assisted thoracic surgery (RATS) and video-assisted thoracic surgery (VATS).
METHODS: In this prospective cohort study, 40 patients undergoing oncologic lobectomy via RATS (n = 20) or VATS (n = 20) were included. We assessed the number of explored lymph node stations, dissected nodes, and microscopic integrity criteria.
RESULTS: RATS resulted in a higher median number of explored stations (5 vs. 4; p = 0.0375) and resected nodes (8 vs. 6; p = 0.0432). However, no significant differences were found in the microscopic quality criteria.
CONCLUSIONS: RATS enables broader lymph node dissection but does not improve microscopic quality compared with VATS. These findings highlight the need for further studies to assess clinical outcomes.
METHODS: In this prospective cohort study, 40 patients undergoing oncologic lobectomy via RATS (n = 20) or VATS (n = 20) were included. We assessed the number of explored lymph node stations, dissected nodes, and microscopic integrity criteria.
RESULTS: RATS resulted in a higher median number of explored stations (5 vs. 4; p = 0.0375) and resected nodes (8 vs. 6; p = 0.0432). However, no significant differences were found in the microscopic quality criteria.
CONCLUSIONS: RATS enables broader lymph node dissection but does not improve microscopic quality compared with VATS. These findings highlight the need for further studies to assess clinical outcomes.