Comparative perioperative outcomes of robot-assisted versus video-assisted thoracoscopic mediastinal tumor resection: a propensity score-matched analysis
Retrospective analysis compares perioperative outcomes in robotic versus video-assisted surgery for mediastinal tumors, suggesting individualized selection is needed.
Key Points
To compare perioperative outcomes between robot-assisted thoracic surgery and video-assisted thoracoscopic surgery for mediastinal tumor resection.
Retrospective cohort study analyzing patients from January 2022 to November 2025.
Propensity score matching to balance baseline characteristics in RATS and VATS groups.
Primary outcome measured was postoperative complications of Clavien-Dindo grade ≥ II.
RATS showed significantly less intraoperative blood loss (−15 mL, 95% CI: −20 to −10, P < 0.001).
RATS had shorter chest tube duration (−1 day, 95% CI: −1.7 to −0.3, P = 0.003) and shorter hospital stay (−1 day, 95% CI: −1.7 to −0.1, P = 0.009).
Total costs were higher in the RATS group (+$4,400, 95% CI: $3,800–$5,000, P < 0.001).