PMID- 28562237
OWN - NLM
STAT- MEDLINE
DCOM- 20170731
LR  - 20220408
IS  - 1488-2310 (Electronic)
IS  - 0008-428X (Print)
IS  - 0008-428X (Linking)
VI  - 60
IP  - 4
DP  - 2017 Aug
TI  - Robotic-assisted thoracoscopic surgery for lung resection: the first Canadian 
      series.
PG  - 260-265
AB  - BACKGROUND: Robotic surgery was introduced as a platform for minimally invasive 
      lung resection in Canada in October 2011. We present the first Canadian series of 
      robotic pulmonary resection for lung cancer. METHODS: Prospective databases at 2 
      institutions were queried for patients who underwent robotic resection for lung 
      cancer between October 2011 and June 2015. To examine the effect of learning 
      curves on patient and process outcomes, data were organized into 3 temporal 
      tertiles, stratified by surgeon. RESULTS: A total of 167 consecutive patients 
      were included in the study. Median age was 66 (range 27-88) years, and 46.1% (n = 
      77) of patients were men. The majority of patients (n = 141, 84%) underwent 
      robotic lobectomy. Median duration of surgery was 270 (interquartile range [IQR] 
      233-326) minutes, and median length of stay (LOS) was 4 (IQR 3-6) days. Twelve 
      patients (7%) were converted to thoracotomy. Total duration of surgery and 
      console time decreased significantly (p < 0.001) across tertiles, with a steady 
      decline until case 20, followed by a plateau effect. Across tertiles, there was 
      no significant difference in LOS, number of lymph node stations removed, or 
      perioperative complications. CONCLUSION: The results of this case series are 
      comparable to those reported in the literature. A prospective study to examine 
      the outcomes and cost of robotic pulmonary resection compared with video-assisted 
      thoracoscopic surgery should be done in the context of the Canadian health care 
      system. We have presented the first consecutive case series of robotic lobectomy 
      in Canada. Outcomes compare favourably to other series in the literature.
FAU - Fahim, Christine
AU  - Fahim C
AD  - From McMaster University, Department of Clinical Epidemiology and Biostatistics, 
      Hamilton, Ont. (Fahim, Hanna); the Department of Surgery, McMaster University, 
      Hamilton, Ont. (Hanna, Shargall); and the Department of Surgery, University of 
      Toronto, Toronto, Ont. (Waddell, Yasufuku).
FAU - Hanna, Wael
AU  - Hanna W
AD  - From McMaster University, Department of Clinical Epidemiology and Biostatistics, 
      Hamilton, Ont. (Fahim, Hanna); the Department of Surgery, McMaster University, 
      Hamilton, Ont. (Hanna, Shargall); and the Department of Surgery, University of 
      Toronto, Toronto, Ont. (Waddell, Yasufuku).
FAU - Waddell, Thomas
AU  - Waddell T
AD  - From McMaster University, Department of Clinical Epidemiology and Biostatistics, 
      Hamilton, Ont. (Fahim, Hanna); the Department of Surgery, McMaster University, 
      Hamilton, Ont. (Hanna, Shargall); and the Department of Surgery, University of 
      Toronto, Toronto, Ont. (Waddell, Yasufuku).
FAU - Shargall, Yaron
AU  - Shargall Y
AD  - From McMaster University, Department of Clinical Epidemiology and Biostatistics, 
      Hamilton, Ont. (Fahim, Hanna); the Department of Surgery, McMaster University, 
      Hamilton, Ont. (Hanna, Shargall); and the Department of Surgery, University of 
      Toronto, Toronto, Ont. (Waddell, Yasufuku).
FAU - Yasufuku, Kazuhiro
AU  - Yasufuku K
AD  - From McMaster University, Department of Clinical Epidemiology and Biostatistics, 
      Hamilton, Ont. (Fahim, Hanna); the Department of Surgery, McMaster University, 
      Hamilton, Ont. (Hanna, Shargall); and the Department of Surgery, University of 
      Toronto, Toronto, Ont. (Waddell, Yasufuku).
LA  - eng
PT  - Journal Article
PL  - Canada
TA  - Can J Surg
JT  - Canadian journal of surgery. Journal canadien de chirurgie
JID - 0372715
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Canada
MH  - Databases, Factual/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Lung Diseases/*surgery
MH  - Male
MH  - Middle Aged
MH  - Outcome and Process Assessment, Health Care/*statistics & numerical data
MH  - Robotic Surgical Procedures/adverse effects/*statistics & numerical data
MH  - Thoracoscopy/adverse effects/*statistics & numerical data
MH  - Thoracotomy/adverse effects/*statistics & numerical data
PMC - PMC5529157
COIS- Competing interests: None declared.
EDAT- 2017/06/01 06:00
MHDA- 2017/08/02 06:00
PMCR- 2017/08/01
CRDT- 2017/06/01 06:00
PHST- 2017/06/01 06:00 [pubmed]
PHST- 2017/08/02 06:00 [medline]
PHST- 2017/06/01 06:00 [entrez]
PHST- 2017/08/01 00:00 [pmc-release]
AID - 10.1503/cjs.005316 [pii]
AID - 0600260 [pii]
AID - 10.1503/cjs.005316 [doi]
PST - ppublish
SO  - Can J Surg. 2017 Aug;60(4):260-265. doi: 10.1503/cjs.005316.