【摘要】 目的:对比分析达芬奇机器人与胸腔镜肺段切除术治疗早期非小细胞肺癌(non-small cell lung cancer, NSCLC)的临床疗效。方法:回顾性分析2016年06月至2020年12月，于我院胸外科行微创肺段切除术的早期非小细胞肺癌患者，共纳入134例，分为机器人组(robot-assisted thoracic surgery, RATS)47例，胸腔镜组(video-assisted thoracic surgery, VATS)87组，对比分析两组临床特征及手术指标、术后主要并发症情况及费用。结果:手术时间、术中出血、平均住院日、术后引流时间等，RATS组优于VATS组，但两组差异无统计学意义(P>0.05)。术后并发症如肺炎、胸腔积液、心律失常、肺不张发生率，两组间差异无统计学意义(P>0.05)。超过5天漏气率RATS组为6.3%,低于VATS组的10.3%,差异有统计学意义(P<0.05)。两组术后NRS疼痛评分差异无统计学意义(P>0.05)。RATS组住院费用明显高于胸腔镜组，差异有统计学意义(P<0.05)。两组1年生存率和2年生存率差异均无统计学意义(P>0.05)。结论:机器人肺段切除术治疗早期非小细胞肺癌安全可行，与胸腔镜相比，术后长期漏气发生较少，值得推广应用。更多还原

【Abstract】 Objective:To compare the clinical efficacy of Da-Vinci robot-assisted and video-assisted thoracic surgery segmentectomy for early stage non-small cell lung cancer(NSCLC).Methods:From June 2016 to December 2020,total of 134 early stage non-small cell lung cancer patients who accepted minimally invasive segmentectomy in department of thoracic surgery of our hospital, were analyzed retrospectively, including robot-assisted thoracic surgery(RATS) group(n=47) and video-assisted thoracic surgery(VATS) group(n=87).The clinical efficacy, post-operative complications and hospitalization cost of two groups were compared and analysed.Results:The operation time, intraoperative bleeding, hospital stayand drain time in RATS group was better than VATS group, but no statistically significant difference(P>0.05).The rate of post-operative complications as pneumonia, pleural effusion, arrhythmia and atelectasis of two group were not statistically difference(P>0.05).The rate of air leak>5 d in RATS group (6.3%) was lower than VATS group (10.3%),with statistically significant difference(P<0.05).And there was no difference in NRS pain score between two groups(P>0.05).In RATS group the hospitalization cost was higher than VATS group (P<0.05).There was no statistically difference in 1-year and 2-year survival rate between two groups (P>0.05).Conclusion:Robot-assisted segmentectomy for early stage NSCLC is safe and feasible,comparing with VATS,less air leak,so it’s worth popularizing and applying.更多还原