Comparison of transfusion rates between robotic- and video-assisted lobectomy: a propensity score matching analysis.
Humans
Robotic Surgical Procedures
/ methods
Propensity Score
Retrospective Studies
Blood Loss, Surgical
Blood Component Transfusion
/ adverse effects
Pneumonectomy
/ adverse effects
Thoracic Surgery, Video-Assisted
/ adverse effects
Plasma
Lung Neoplasms
/ surgery
Postoperative Complications
/ epidemiology
Lung cancer
Perioperative blood transfusion
Postoperative complications
Robot-assisted surgery
Journal
Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
24
07
2023
accepted:
01
09
2023
medline:
28
11
2023
pubmed:
16
9
2023
entrez:
15
9
2023
Statut:
ppublish
Résumé
The objective is to compare the perioperative blood transfusion rate and postoperative complications between robot-assisted surgery and thoracoscopic surgery in lung cancer patients. This is a single-center retrospective study. Patients underwent lung cancer minimally invasive resection at Fujian Cancer Hospital from April 1, 2022, to April 30, 2023, were enrolled in this study. Patients were divided into robotic-assisted lobectomy (RAL) and video-assisted lobectomy (VAL) groups according to the surgical methods. Data, including demographics, clinic variables, and endpoint outcomes were collected from the electronic medical record. Propensity score matching (PSM) was performed to analyze the baseline data of patients. The RAL group and the VAL group were matched 1:1. Then, the blood transfusion rates and short-term outcomes of the two groups were compared. A logistic regression was performed to analyze the independent risk factors of perioperative blood transfusion. A total of 558 patients were enrolled in this study. 166 of 558 patients were divided into the RAL group, and 392 patients were into the VAL group. A total of 118 patients were selected and analyzed following propensity score matching. After PSM, there was no difference in perioperative transfusion rates, including RBC transfusion and frozen plasma transfusion, between the VAL and RAL groups (P > 0.05). The RAL group had fewer days of drainage tubes (P = 0.036). There was no difference in other short-term outcomes, including the volume of thoracic drainage, the volume of intraoperative blood loss, the length of hospitalization, and the rate of postoperative pulmonary infection (P > 0.05). Volume of intraoperative blood loss, volume of thoracic drainage, and preoperative hemoglobin were independent risk factors of perioperative red blood cell or frozen plasma transfusion; however, RAL or VAL was not. The study showed that the rates of perioperative blood transfusion were comparable between RAL and VAL. RAL is superior for patient recovery in terms of short-term outcomes.
Identifiants
pubmed: 37715086
doi: 10.1007/s11701-023-01712-w
pii: 10.1007/s11701-023-01712-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2773-2781Subventions
Organisme : Natural Science Foundation of Fujian Province
ID : 2022J011050
Organisme : Natural Science Foundation of Fujian Province
ID : 2020J011110
Organisme : Joint Funds for the innovation of science and Technology, Fujian province
ID : 2021Y9205
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.
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