フルテキストファイル
著者
Taniguchi Yuji Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Nakamura Hiroshige Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine 研究者総覧 KAKEN
Miwa Ken Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine 研究者総覧 KAKEN
Haruki Tomohiro Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine 研究者総覧 KAKEN
Araki Kunio Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Takagi Yuzo Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine 研究者総覧
Wakahara Makoto Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine 研究者総覧
Yurugi Yohei Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Kubouchi Yasuaki Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Ohno Takashi Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
Kidokoro Yoshiteru Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine 研究者総覧
Fujiwara Wakako Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
キーワード
initial results
primary lung cancer
robotic surgery
抄録
[Background] At the end of 2016, robot-assisted thoracoscopic surgery (RATS) was still not covered by Japanese national health insurance. Therefore, few institutions in Japan perform RATS and even fewer have reported procedures as they occurred earlier. So, we decided to focus on the initial results of RATS for primary lung cancer.
[Methods] We retrospectively reviewed 44 patients who underwent RATS for primary lung cancer from January 2011 to August 2016. After mastering the initial procedure, we introduced a completely portal robotic pulmonary resection procedure using a carbon dioxide insufflation system. Cases were divided into 2 groups: the early period (20 cases) and the later period (24 cases).
[Results] There was no case of conversion to video-assisted thoracoscopic surgery or thoracotomy. In the 44 cases of primary lung cancer, median operating time was 239.5 min, console time was 179 min, blood loss was 10 mL, drainage period was 2 days, morbidity of Grade 2 or more (Clavien-Dindo classification) was 18.2%, morbidity of Grade 3 or more was only 4.6%, and there was no 30-day mortality. Median operating and console times were significantly shorter in the later period (215 min and 159.5 min, respectively) than in the initial period (300.5 min and 228 min, respectively). Median blood loss was significantly lower in the later period (5 mL) than in the initial period (50 mL). Fiveyear overall and disease-free survival rates were 100% and 88.9%, respectively.
[Conclusion] RATS for primary lung cancer is feasible and safe, has a faster learning curve, and provides satisfactory. Studies with longer follow-ups and larger numbers of cases are necessary.
出版者
Tottori University Faculty of Medicine
資料タイプ
学術雑誌論文
外部リンク
ISSN・ISBN
1346-8049
書誌ID
AA00892882
掲載誌名
Yonago Acta Medica
最新掲載誌名
Yonago Acta Medica
60
3
開始ページ
162
終了ページ
166
発行日
2017-09-15
著者版フラグ
出版社版
掲載情報
Yonago Acta Medica. 2017, 60(3), 162-166
部局名
医学部・医学系研究科・医学部附属病院
言語
英語