Early clinical outcomes of robot-assisted surgery for anterior mediastinal mass: its superiority over a conventional sternotomy approach evaluated by propensity score matching

OBJECTIVES We performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot group with those of the sternotomy group after propensity score matching. METHODS Between 2008 and 2012, 145 patients underwent resection of...

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Published inEuropean journal of cardio-thoracic surgery Vol. 45; no. 3; pp. e68 - e73
Main Authors Seong, Yong Won, Kang, Chang Hyun, Choi, Jae-Woong, Kim, Hye-Seon, Jeon, Jae Hyun, Park, In Kyu, Kim, Young Tae
Format Journal Article
LanguageEnglish
Published Germany Oxford University Press 01.03.2014
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Abstract OBJECTIVES We performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot group with those of the sternotomy group after propensity score matching. METHODS Between 2008 and 2012, 145 patients underwent resection of anterior mediastinal mass. Robot-assisted surgery was performed in 37 patients, and conventional surgery by sternotomy in 108 patients. Propensity score matching was done between two groups with variables of age, sex, size of the mass, myasthenia gravis, resection of other organ and pathological diagnosis. Thirty-four patients from the robot group and 34 from the open group were matched, fitting the model. The clinical outcomes of matched groups were compared. RESULTS In the robot group, mediastinal cyst consisted of 47.1% (16 of 34), thymoma 32.4% (11 of 34), thymic carcinoma 8.8% (3 of 34), thymic hyperplasia 8.8% (3 of 34) and liposarcoma 2.9% (1 of 34). The mean duration of follow-up was 1.11 ± 0.21 and 1.85 ± 0.19 years for the robot and open groups, respectively. There were no mortality or recurrence in both groups during the follow-up. There were no significant differences in operation time, postoperative white blood cell and C-reactive protein increase, maximum visual analogue scale score for pain as well as postoperative intensive care unit care between the two groups. The robot group revealed a lesser number of drains (1.09 ± 0.1 vs 1.41 ± 0.1) and 24-h tube drainage (189.4 ± 20.5 vs 397.6 ± 52.6 ml), lower haemoglobin loss (0.54 ± 0.4 vs 1.35 ± 0.1 g/dl) and haematocrit decrease (1.92 ± 0.5 vs 3.85 ± 0.4%), shorter chest tube days (1.53 ± 0.2 vs 3.06 ± 0.2) and length of hospital stay (2.65 ± 0.2 vs 5.53 ± 0.8) after operation, which were all statistically significant. Although statistically insignificant, there were no postoperative complications in the robot group, but there were 5 (14.7%) in the open group (P = 0.063). CONCLUSIONS In carefully selected patients with relatively smaller sized masses, robot-assisted surgery resulted in excellent early clinical outcomes with lesser tube drainage, lower blood loss, shorter tube days and length of hospital stay without any postoperative complications, compared with the matched open group. Further investigation for long-term clinical outcomes and oncological outcomes is required for a robotic approach. Particularly, long-term follow-up for the local recurrence rate according to the pathological diagnoses is required.
AbstractList We performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot group with those of the sternotomy group after propensity score matching. Between 2008 and 2012, 145 patients underwent resection of anterior mediastinal mass. Robot-assisted surgery was performed in 37 patients, and conventional surgery by sternotomy in 108 patients. Propensity score matching was done between two groups with variables of age, sex, size of the mass, myasthenia gravis, resection of other organ and pathological diagnosis. Thirty-four patients from the robot group and 34 from the open group were matched, fitting the model. The clinical outcomes of matched groups were compared. In the robot group, mediastinal cyst consisted of 47.1% (16 of 34), thymoma 32.4% (11 of 34), thymic carcinoma 8.8% (3 of 34), thymic hyperplasia 8.8% (3 of 34) and liposarcoma 2.9% (1 of 34). The mean duration of follow-up was 1.11 ± 0.21 and 1.85 ± 0.19 years for the robot and open groups, respectively. There were no mortality or recurrence in both groups during the follow-up. There were no significant differences in operation time, postoperative white blood cell and C-reactive protein increase, maximum visual analogue scale score for pain as well as postoperative intensive care unit care between the two groups. The robot group revealed a lesser number of drains (1.09 ± 0.1 vs 1.41 ± 0.1) and 24-h tube drainage (189.4 ± 20.5 vs 397.6 ± 52.6 ml), lower haemoglobin loss (0.54 ± 0.4 vs 1.35 ± 0.1 g/dl) and haematocrit decrease (1.92 ± 0.5 vs 3.85 ± 0.4%), shorter chest tube days (1.53 ± 0.2 vs 3.06 ± 0.2) and length of hospital stay (2.65 ± 0.2 vs 5.53 ± 0.8) after operation, which were all statistically significant. Although statistically insignificant, there were no postoperative complications in the robot group, but there were 5 (14.7%) in the open group (P = 0.063). In carefully selected patients with relatively smaller sized masses, robot-assisted surgery resulted in excellent early clinical outcomes with lesser tube drainage, lower blood loss, shorter tube days and length of hospital stay without any postoperative complications, compared with the matched open group. Further investigation for long-term clinical outcomes and oncological outcomes is required for a robotic approach. Particularly, long-term follow-up for the local recurrence rate according to the pathological diagnoses is required.
OBJECTIVESWe performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot group with those of the sternotomy group after propensity score matching.METHODSBetween 2008 and 2012, 145 patients underwent resection of anterior mediastinal mass. Robot-assisted surgery was performed in 37 patients, and conventional surgery by sternotomy in 108 patients. Propensity score matching was done between two groups with variables of age, sex, size of the mass, myasthenia gravis, resection of other organ and pathological diagnosis. Thirty-four patients from the robot group and 34 from the open group were matched, fitting the model. The clinical outcomes of matched groups were compared.RESULTSIn the robot group, mediastinal cyst consisted of 47.1% (16 of 34), thymoma 32.4% (11 of 34), thymic carcinoma 8.8% (3 of 34), thymic hyperplasia 8.8% (3 of 34) and liposarcoma 2.9% (1 of 34). The mean duration of follow-up was 1.11 ± 0.21 and 1.85 ± 0.19 years for the robot and open groups, respectively. There were no mortality or recurrence in both groups during the follow-up. There were no significant differences in operation time, postoperative white blood cell and C-reactive protein increase, maximum visual analogue scale score for pain as well as postoperative intensive care unit care between the two groups. The robot group revealed a lesser number of drains (1.09 ± 0.1 vs 1.41 ± 0.1) and 24-h tube drainage (189.4 ± 20.5 vs 397.6 ± 52.6 ml), lower haemoglobin loss (0.54 ± 0.4 vs 1.35 ± 0.1 g/dl) and haematocrit decrease (1.92 ± 0.5 vs 3.85 ± 0.4%), shorter chest tube days (1.53 ± 0.2 vs 3.06 ± 0.2) and length of hospital stay (2.65 ± 0.2 vs 5.53 ± 0.8) after operation, which were all statistically significant. Although statistically insignificant, there were no postoperative complications in the robot group, but there were 5 (14.7%) in the open group (P = 0.063).CONCLUSIONSIn carefully selected patients with relatively smaller sized masses, robot-assisted surgery resulted in excellent early clinical outcomes with lesser tube drainage, lower blood loss, shorter tube days and length of hospital stay without any postoperative complications, compared with the matched open group. Further investigation for long-term clinical outcomes and oncological outcomes is required for a robotic approach. Particularly, long-term follow-up for the local recurrence rate according to the pathological diagnoses is required.
OBJECTIVES We performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot group with those of the sternotomy group after propensity score matching. METHODS Between 2008 and 2012, 145 patients underwent resection of anterior mediastinal mass. Robot-assisted surgery was performed in 37 patients, and conventional surgery by sternotomy in 108 patients. Propensity score matching was done between two groups with variables of age, sex, size of the mass, myasthenia gravis, resection of other organ and pathological diagnosis. Thirty-four patients from the robot group and 34 from the open group were matched, fitting the model. The clinical outcomes of matched groups were compared. RESULTS In the robot group, mediastinal cyst consisted of 47.1% (16 of 34), thymoma 32.4% (11 of 34), thymic carcinoma 8.8% (3 of 34), thymic hyperplasia 8.8% (3 of 34) and liposarcoma 2.9% (1 of 34). The mean duration of follow-up was 1.11 ± 0.21 and 1.85 ± 0.19 years for the robot and open groups, respectively. There were no mortality or recurrence in both groups during the follow-up. There were no significant differences in operation time, postoperative white blood cell and C-reactive protein increase, maximum visual analogue scale score for pain as well as postoperative intensive care unit care between the two groups. The robot group revealed a lesser number of drains (1.09 ± 0.1 vs 1.41 ± 0.1) and 24-h tube drainage (189.4 ± 20.5 vs 397.6 ± 52.6 ml), lower haemoglobin loss (0.54 ± 0.4 vs 1.35 ± 0.1 g/dl) and haematocrit decrease (1.92 ± 0.5 vs 3.85 ± 0.4%), shorter chest tube days (1.53 ± 0.2 vs 3.06 ± 0.2) and length of hospital stay (2.65 ± 0.2 vs 5.53 ± 0.8) after operation, which were all statistically significant. Although statistically insignificant, there were no postoperative complications in the robot group, but there were 5 (14.7%) in the open group (P = 0.063). CONCLUSIONS In carefully selected patients with relatively smaller sized masses, robot-assisted surgery resulted in excellent early clinical outcomes with lesser tube drainage, lower blood loss, shorter tube days and length of hospital stay without any postoperative complications, compared with the matched open group. Further investigation for long-term clinical outcomes and oncological outcomes is required for a robotic approach. Particularly, long-term follow-up for the local recurrence rate according to the pathological diagnoses is required.
Author Kim, Hye-Seon
Jeon, Jae Hyun
Kim, Young Tae
Kang, Chang Hyun
Seong, Yong Won
Choi, Jae-Woong
Park, In Kyu
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  givenname: Chang Hyun
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  fullname: Kang, Chang Hyun
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  fullname: Choi, Jae-Woong
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  organization: a Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea
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  givenname: Young Tae
  surname: Kim
  fullname: Kim, Young Tae
  organization: a Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea
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Cites_doi 10.1378/chest.117.4.1179
10.1016/S1569-9293(03)00055-0
10.1016/0003-4975(93)90942-B
10.1016/j.ejcts.2006.12.016
10.1016/j.athoracsur.2012.04.119
10.1016/S0003-4975(02)04295-9
10.1016/j.jtcvs.2010.11.042
10.1196/annals.1405.013
10.1016/j.ejcts.2010.08.009
10.1016/j.ejcts.2009.09.005
10.1196/annals.1405.004
10.1016/j.jtcvs.2010.09.003
10.1016/S0003-4975(02)05008-7
10.1016/j.athoracsur.2010.01.038
10.1378/chest.128.4.3010
10.1510/icvts.2009.202531
10.1007/s00464-011-1879-7
10.1016/j.athoracsur.2004.02.006
10.1016/j.athoracsur.2012.04.097
10.1016/j.athoracsur.2011.04.054
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References 25091777 - Chest. 2014 Aug;146(2):e71-2
25091776 - Chest. 2014 Aug;146(2):e71
Ruckert ( key 20170510090003_EZT557C17) 2008; 1132
Roviaro ( key 20170510090003_EZT557C2) 2000; 117
Pennathur ( key 20170510090003_EZT557C9) 2011; 141
Sonett ( key 20170510090003_EZT557C18) 2008; 1132
Cakar ( key 20170510090003_EZT557C12) 2007; 31
Wagner ( key 20170510090003_EZT557C16) 2012; 94
Berman ( key 20170510090003_EZT557C4) 2003; 2
Bacchetta ( key 20170510090003_EZT557C3) 2003; 75
Ruckert ( key 20170510090003_EZT557C14) 2011; 141
Freeman ( key 20170510090003_EZT557C21) 2011; 92
Weksler ( key 20170510090003_EZT557C13) 2012; 26
Balduyck ( key 20170510090003_EZT557C15) 2011; 39
Bodner ( key 20170510090003_EZT557C6) 2004; 78
Cheng ( key 20170510090003_EZT557C7) 2005; 128
Cusumano ( key 20170510090003_EZT557C8) 2010; 37
Fleck ( key 20170510090003_EZT557C19) 2009; 9
DeRose ( key 20170510090003_EZT557C5) 2003; 75
Jurado ( key 20170510090003_EZT557C10) 2012; 94
Goldstein ( key 20170510090003_EZT557C20) 2010; 89
Yim ( key 20170510090003_EZT557C1) 1996; 81
Sugarbaker ( key 20170510090003_EZT557C11) 1993; 56
References_xml – volume: 117
  start-page: 1179
  year: 2000
  ident: key 20170510090003_EZT557C2
  article-title: Videothoracoscopic approach to primary mediastinal pathology
  publication-title: Chest
  doi: 10.1378/chest.117.4.1179
  contributor:
    fullname: Roviaro
– volume: 2
  start-page: 262
  year: 2003
  ident: key 20170510090003_EZT557C4
  article-title: Computer-enhanced thoracoscopic thymectomy with the Zeus telemanipulation surgical system
  publication-title: Interact CardioVasc Thorac Surg
  doi: 10.1016/S1569-9293(03)00055-0
  contributor:
    fullname: Berman
– volume: 56
  start-page: 653
  year: 1993
  ident: key 20170510090003_EZT557C11
  article-title: Thoracoscopy in the management of anterior mediastinal masses
  publication-title: Ann Thorac Surg
  doi: 10.1016/0003-4975(93)90942-B
  contributor:
    fullname: Sugarbaker
– volume: 31
  start-page: 501
  year: 2007
  ident: key 20170510090003_EZT557C12
  article-title: A comparison of outcomes after robotic open extended thymectomy for myasthenia gravis
  publication-title: Eur J Cardiothorac Surg
  doi: 10.1016/j.ejcts.2006.12.016
  contributor:
    fullname: Cakar
– volume: 94
  start-page: 622
  year: 2012
  ident: key 20170510090003_EZT557C16
  article-title: Near-infrared fluorescence imaging can help identify the contralateral phrenic nerve during robotic thymectomy
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2012.04.119
  contributor:
    fullname: Wagner
– volume: 75
  start-page: 571
  year: 2003
  ident: key 20170510090003_EZT557C5
  article-title: Mediastinal mass evaluation using advanced robotic techniques
  publication-title: Ann Thorac Surg
  doi: 10.1016/S0003-4975(02)04295-9
  contributor:
    fullname: DeRose
– volume: 141
  start-page: 673
  year: 2011
  ident: key 20170510090003_EZT557C14
  article-title: Comparison of robotic and nonrobotic thoracoscopic thymectomy: a cohort study
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2010.11.042
  contributor:
    fullname: Ruckert
– volume: 1132
  start-page: 329
  year: 2008
  ident: key 20170510090003_EZT557C17
  article-title: Thoracoscopic thymectomy with the da Vinci robotic system for myasthenia gravis
  publication-title: Ann N Y Acad Sci
  doi: 10.1196/annals.1405.013
  contributor:
    fullname: Ruckert
– volume: 39
  start-page: 543
  year: 2011
  ident: key 20170510090003_EZT557C15
  article-title: Quality of life after anterior mediastinal mass resection: a prospective study comparing open with robotic-assisted thoracoscopic resection
  publication-title: Eur J Cardiothorac Surg
  doi: 10.1016/j.ejcts.2010.08.009
  contributor:
    fullname: Balduyck
– volume: 37
  start-page: 746
  year: 2010
  ident: key 20170510090003_EZT557C8
  article-title: Open versus thoracoscopic thymectomy for non-neoplastic myasthenic patients: is there a space for a third way?
  publication-title: Eur J Cardiothorac Surg
  doi: 10.1016/j.ejcts.2009.09.005
  contributor:
    fullname: Cusumano
– volume: 1132
  start-page: 315
  year: 2008
  ident: key 20170510090003_EZT557C18
  article-title: Thymectomy for nonthymomatous myasthenia gravis: a critical analysis
  publication-title: Ann N Y Acad Sci
  doi: 10.1196/annals.1405.004
  contributor:
    fullname: Sonett
– volume: 141
  start-page: 694
  year: 2011
  ident: key 20170510090003_EZT557C9
  article-title: Comparison of surgical techniques for early-stage thymoma: feasibility of minimally invasive thymectomy and comparison with open resection
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2010.09.003
  contributor:
    fullname: Pennathur
– volume: 75
  start-page: 1953
  year: 2003
  ident: key 20170510090003_EZT557C3
  article-title: Resection of a symptomatic pericardial cyst using the computer-enhanced da Vinci Surgical System
  publication-title: Ann Thorac Surg
  doi: 10.1016/S0003-4975(02)05008-7
  contributor:
    fullname: Bacchetta
– volume: 89
  start-page: 1080
  year: 2010
  ident: key 20170510090003_EZT557C20
  article-title: Assessment of robotic thymectomy using the Myasthenia Gravis Foundation of America Guidelines
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2010.01.038
  contributor:
    fullname: Goldstein
– volume: 81
  start-page: 350
  year: 1996
  ident: key 20170510090003_EZT557C1
  article-title: Video-assisted thoracoscopic resection of anterior mediastinal masses
  publication-title: Int Surg
  contributor:
    fullname: Yim
– volume: 128
  start-page: 3010
  year: 2005
  ident: key 20170510090003_EZT557C7
  article-title: Videothoracoscopic resection of stage II thymoma: prospective comparison of the results between thoracoscopy and open methods
  publication-title: Chest
  doi: 10.1378/chest.128.4.3010
  contributor:
    fullname: Cheng
– volume: 9
  start-page: 784
  year: 2009
  ident: key 20170510090003_EZT557C19
  article-title: Extended videoscopic robotic thymectomy with the da Vinci telemanipulator for the treatment of myasthenia gravis: the Vienna experience
  publication-title: Interact CardioVasc Thorac Surg
  doi: 10.1510/icvts.2009.202531
  contributor:
    fullname: Fleck
– volume: 26
  start-page: 261
  year: 2012
  ident: key 20170510090003_EZT557C13
  article-title: Robot-assisted thymectomy is superior to transsternal thymectomy
  publication-title: Surg Endosc
  doi: 10.1007/s00464-011-1879-7
  contributor:
    fullname: Weksler
– volume: 78
  start-page: 259
  year: 2004
  ident: key 20170510090003_EZT557C6
  article-title: Early experience with robot-assisted surgery for mediastinal masses
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2004.02.006
  contributor:
    fullname: Bodner
– volume: 94
  start-page: 974
  year: 2012
  ident: key 20170510090003_EZT557C10
  article-title: Minimally invasive thymectomy and open thymectomy: outcome analysis of 263 patients
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2012.04.097
  contributor:
    fullname: Jurado
– volume: 92
  start-page: 1018
  year: 2011
  ident: key 20170510090003_EZT557C21
  article-title: Long-term follow-up after robotic thymectomy for nonthymomatous myasthenia gravis
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2011.04.054
  contributor:
    fullname: Freeman
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Snippet OBJECTIVES We performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot...
We performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot group with...
OBJECTIVESWe performed this study to assess early clinical outcomes of robot-assisted surgery for anterior mediastinal mass by comparing results of the robot...
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SubjectTerms Female
Humans
Male
Mediastinal Neoplasms - epidemiology
Mediastinal Neoplasms - surgery
Middle Aged
Postoperative Complications
Propensity Score
Retrospective Studies
Robotics - methods
Sternotomy - adverse effects
Sternotomy - methods
Surgery, Computer-Assisted - adverse effects
Surgery, Computer-Assisted - methods
Thymectomy - adverse effects
Thymectomy - methods
Treatment Outcome
Title Early clinical outcomes of robot-assisted surgery for anterior mediastinal mass: its superiority over a conventional sternotomy approach evaluated by propensity score matching
URI https://www.ncbi.nlm.nih.gov/pubmed/24321994
https://search.proquest.com/docview/1500703010
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