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Thorac Cardiovasc Surg 2017; 65(05): 344-350
DOI: 10.1055/s-0036-1587590
Original Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Pain, Quality of Life, and Clinical Outcomes after Robotic Lobectomy

Valerie Lacroix
1   Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
,
Zahra Mosala Nezhad
1   Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
,
David Kahn
2   Department of Cardiac Anesthesia, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
,
Arnaud Steyaert
2   Department of Cardiac Anesthesia, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
,
Alain Poncelet
1   Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
,
Thierry Pieters
3   Division of Pulmonary Medicine, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
,
Philippe Noirhomme
1   Department of Cardiovascular and Thoracic Surgery, IREC, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
› Author Affiliations
Further Information

Publication History

10 March 2016

05 July 2016

Publication Date:
30 August 2016 (online)

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Erratum: Pain, Quality of Life, and Clinical Outcomes after Robotic LobectomyThorac Cardiovasc Surg 2017; 65(05): e1-e1
DOI: 10.1055/s-0036-1593345

Abstract

Background To evaluate pulmonary function, pain, and quality of life at midterm after robotic lobectomy performed in a single institution.

Methods Sixty-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.

Results At 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.

Conclusion Robotic 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.

Keywords

robotic surgery - lobectomy - NSCLC - quality of life - pain - pulmonary function
 

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