基于倾向评分匹配比较多孔机器人辅助与单孔电视辅助胸腔镜治疗非小细胞肺癌的近期疗效OA

Objective:To compare the short-term efficacy of multiport robot-assisted thoracoscopic surgery(M-RATS)and uniport video-assisted thoracoscopic surgery(U-VATS)in patients with non-small cell lung cancer(NSCLC)and evaluate their clinical value.Methods:A retrospective analysis was conducted on the clinical data of NSCLC patients who underwent U-VATS or M-RATS in the Department of Pulmonary Surgery Ⅱ,Affiliated Tumor Hospital of Xinjiang Medical University from May 2023 to August 2024.Perioperative indicators of the two groups were compared after propensity score matching(PSM).Results:A total of 378 patients were included,with 157 in the M-RATS group and 221 in the U-VATS group.After PSM,124 patients were included in each group.All surgeries were successfully completed without perioperative mortality.After PSM,the M-RATS group had significantly longer operative time,shorter duration of chest tube drainage,greater number of dissected lymph nodes and nodal stations compared to the U-VATS group(P<0.05).Additionally,total hospitalization costs and the overall incidence of postoperative complications were significantly higher in the M-RATS group than the U-VATS group(P<0.05).Conclusion:M-RATS and U-VATS have comparable perioperative outcomes in NSCLC patients.The former can achieve more thorough lymph node dissection,which has superior advantages in precisely assessing lymph node status and tumor staging,thereby optimizing oncological outcomes in NSCLC patients.