title: Robotic and video-assisted thoracic surgery lung segmentectomy for malignant and benign lesions.
abstract: OBJECTIVE
  The experience with robotic techniques (RATS) and video-assisted thoracic surgery (VATS) in pulmonary segmentectomy is still limited. We evaluated our prospectively recorded database to compare two different minimally invasive techniques.
  
  
  METHODS
  Between May 2007 and July 2014, a total of 99 patients underwent RATS (n = 34) and VATS (n = 65) pulmonary segmentectomies at two institutions. The median age of patients was 59 ± 15 (16-84) years, and 61% were male. Seventy-six patients were operated on for malignancy and 23 for benign diseases.
  
  
  RESULTS
  The major morbidity and mortality rates were 24-23% and 0-1.5% for RATS and VATS (P = 0.57) and (P = 0.66), respectively. The mean console time for RATS was longer than the mean operation time for VATS [76 ± 23 (40-150) vs 65 ± 22 (30-120) min (P = 0.018)]. The mean duration of drainage was similar for RATS and VATS [3.53 ± 2.3 (1-10) days vs 3.98 ± 3.6 (1-21) (P = 0.90)], respectively. The duration of postoperative stay for RATS was 4.65 ± 1.94 (2-10) days and for VATS was 6.16 ± 4.7 (2-24) days (P = 0.39).
  
  
  CONCLUSIONS
  Both RATS and VATS pulmonary segmentectomy operations are performed with similar morbidity and mortality rates. Although the duration of operation is longer in RATS when compared with an established VATS programme, there is a tendency towards a shorter postoperative stay.
authors.affiliation: Thoracic Surgery Department, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey dradalet@hotmail.com.
authors.forename: Adalet
authors.initials: A
authors.lastname: Demir
authors.affiliation: Thoracic Surgery Department, Group Florence Nightingale Istanbul Hospital, Istanbul, Turkey.
authors.forename: Kemal
authors.initials: K
authors.lastname: Ayalp
authors.affiliation: Thoracic Surgery Department, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey.
authors.forename: Berker
authors.initials: B
authors.lastname: Ozkan
authors.affiliation: Thoracic Surgery Department, Group Florence Nightingale Istanbul Hospital, Istanbul, Turkey.
authors.forename: Erkan
authors.initials: E
authors.lastname: Kaba
authors.affiliation: Thoracic Surgery Department, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey Thoracic Surgery Department, Group Florence Nightingale Istanbul Hospital, Istanbul, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Toker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000601:surgery*; D008175:Lung Neoplasms / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D055815:Young Adult
keywords: Lung cancer; Lung resection; Robotic surgery; Segmentectomy; Video-assisted thoracic surgery