Comparison of short-term efficacy between robot-assisted and uniportal video-assisted thoracoscopic surgery for right upper lobectomy in non-small cell lung cancer
Year: 2026
Type: article
Study design: Observational Study
Abstract: Objective To compare the short-term efficacy of robot-assisted and uniportal video-assisted thoracoscopic surgery (U-VATS) for right upper lobectomy in treating non-small cell lung cancer (NSCLC). Methods 99 early-stage NSCLC patients from Nanxishan Hospital of Guangxi Zhuang Autonomous Region who underwent surgery between July 2022 and December 2024, were selected and grouped based on the surgical approach: patients undergoing da Vinci robot-assisted right upper lobectomy (da Vinci group) and patients undergoing U-VATS right upper lobectomy (U-VATS group). Clinical data were compared between the two groups, including baseline data, efficacy, surgical indicators, postoperative complications, and survival curves. Results There were no statistically significant differences in baseline data between the two groups ( P > 0.05). The efficacy between the two groups showed no statistical significance ( P > 0.05); however, the R0 was higher in the da Vinci robot group at 86.00% compared to 73.47% in the U-VATS group. There were no statistically significant differences in terms of surgical time, intraoperative blood loss, chest tube drainage, duration of drainage tube placement, and length of postoperative hospital stay between the two groups ( P > 0.05). The da Vinci robot group had a higher number of lymph node dissections than the U-VATS group ( P < 0.05). The incidence of postoperative complications showed no statistically significant difference between the two groups ( P > 0.05). There were no cases of loss to follow-up among the 99 patients. The survival rate was 89.80% in the U-VATS group and 96.00% in the da Vinci robot group, with no statistical significance ( P > 0.05). Conclusion Compared to U-VATS, da Vinci robot-assisted right upper lobectomy for early-stage NSCLC patients demonstrates similar safety and operability, with a significantly higher number of lymph node dissections. There were no significant differences in surgical time, intraoperative blood loss, postoperative chest tube drainage, duration of drainage tube placement, length of postoperative hospital stay, and incidence of postoperative lung infections between the two approaches.
Source: Frontiers in Surgery
Authors: Xiangping Zhu, Ke Xu, Xiaoyan Feng, Rongsheng Xiong
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W7154028657