Outcomes of robotic vs video-assisted thoracoscopic segmentectomy in early-stage NSCLC: A meta-analysis of propensity-matched studies.
Udochukwu Godswill Anosike, Wellgner Fernandes Oliveira Amador, Theodora Cristina Cruz de Assis et al.
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In 30 seconds
This meta-analysis compared robotic-assisted thoracoscopic segmentectomy (RATS) and video-assisted thoracoscopic segmentectomy (VATS) in 14,007 patients with early-stage non-small cell lung cancer (NSCLC). The study found that RATS was associated with lower intraoperative blood loss (-8.82 mL, p = 0.02), while median overall survival was similar for both techniques at 4.6 years.
Key findings
- RATS resulted in lower intraoperative blood loss compared to VATS (-8.82 mL, p = 0.02).
- Median overall survival was identical for both RATS and VATS at 4.6 years (HR 0.98, p = 0.72).
- Other perioperative outcomes, including operative time and hospital length of stay, were comparable.
Why it matters
Understanding the comparative effectiveness of RATS and VATS is crucial for clinicians to make informed decisions regarding surgical approaches for early-stage NSCLC, considering factors like safety and resource allocation.