title: Pain, Quality of Life, and Clinical Outcomes after Robotic Lobectomy.
abstract: BackgroundTo evaluate pulmonary function, pain, and quality of life at midterm after robotic lobectomy performed in a single institution.MethodsSixty-five consecutive patients underwent robotic thoracic surgery over 32 months using a complete four-arm portal technique. Sixty-one patients underwent lobectomies predominantly for stage I non-small cell lung cancer. Pulmonary function tests were repeated at midterm follow-up. Pain and quality of life were evaluated during the follow-up on a subgroup of 39 patients, excluding the learning period.ResultsAt a mean of 7-month follow-up, there was no significant difference in preoperative and midterm postoperative pulmonary function. A total of 62.5% of the patients reported a variable intensity of discomfort or pain at the surgical site, with a mean pain intensity score of 2.1 ± 1.4. Mean pain interference score were weak (1.8 ± 1.9), with patients with moderate pain reporting significantly higher pain interference scores than those with mild pain (p= 0.0025). Only one patient suffered from neuropathic-like pain. Quality of life was globally favorable and related to the pain level, with a significant interference on the physical component.ConclusionRobotic lobectomy does not appear to have an impact on midterm pulmonary function. Persistent postoperative pain is mild, nonneuropathic-like, with weak interference on daily activities. Quality of life is satisfactory but related to the pain level.
authors: Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: Valerie
authors: V
authors: Lacroix
authors: Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: Zahra
authors: Z
authors: Mosala Nezhad
authors: Department of Cardiac Anesthesia, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: David
authors: D
authors: Kahn
authors: Department of Cardiac Anesthesia, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: Arnaud
authors: A
authors: Steyaert
authors: Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: Alain
authors: A
authors: Poncelet
authors: Division of Pulmonary Medicine, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: Thierry
authors: T
authors: Pieters
authors: Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
authors: Philippe
authors: P
authors: Noirhomme
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001530:Belgium; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D011788:Quality of Life; D020127:Recovery of Function; D012129:Respiratory Function Tests; D012189:Retrospective Studies; D012307:Risk Factors; D065287:Robotic Surgical Procedures / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome