Efficacy of multidisciplinary team combined with Da Vinci robot-assisted thoracic surgery in the treatment of early non-small cell lung cancer:A retrospective study in a single center
Objective To investigate the clinical efficacy of multidisciplinary team(MDT)model combined with Da Vinci robot-assisted thoracic surgery in the treatment of early non-small cell lung cancer(NSCLC).Methods From July 2020 to December 2021,the patients with NSCLC who received Da Vinci robot-assisted thoracic surgery in the Department of Thoracic Surgery,General Hospital of Northern Theater Command were collected.According to whether MDT were performed before hospitalization,the patients were divided into an MDT group and a common group.The recovery and clinical efficacy were compared between the two groups.Results A total of 187 patients were enrolled,including 81 males and 106 females,aged 63(56,67)years.There were 85 patients in the MDT group,and 102 patients in the common group.Compared with the common group,the MDT group had lower incidence of postoperative complications(9.4％vs.29.4％,P=0.017),shorter intraoperative operation time[55(45,61)min vs.79(65,90)min,P＜0.001],and less intraoperative blood loss[25(20,30)mL vs.30(20,50)mL,P=0.029]in the same operation mode.In addition,the drainage volume on the second postoperative day[270(200,350)mL vs.215(190,300)mL,P=0.004],the number of dissected lymph nodes groups[6(5,6)groups vs.5(3,6)groups,P=0.004]and the number of dissected lymph nodes[16(13,21)vs.13(9,20),P=0.005]in the MDT group were significantly better than those in the common group.The differences in the postoperative intubation time and postoperative hospital stay between the two groups were not statistically significant(P＞0.05).Conclusion MDT combined with Da Vinci robot-assisted thoracic surgery can further reduce the risk of surgery,improve the clinical treatment effect,reduce the incidence of postoperative complications,and accelerate the rehabilitation of patients.
Multidisciplinary teamnon-small cell lung cancerDa Vinci robotpostoperative complicationsenhanced recovery after surgery
万方数据
维普
