Pain, Quality of Life, and Clinical Outcomes after Robotic Lobectomy.
(2017) The Thoracic and Cardiovascular Surgeon — Vol. 65, n° 5, p. 344-350 (2017)
Files
Details
- Authors
- 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.
- Affiliations
Citations
Lacroix, V., Mosala Nezhad, Z., Kahn, D., Steyaert, A., Poncelet, A., Pieters, T., & Noirhomme, P. (2017). Pain, Quality of Life, and Clinical Outcomes after Robotic Lobectomy. The Thoracic and Cardiovascular Surgeon, 65(5), 344-350. https://doi.org/10.1055/s-0036-1587590 (Original work published 2017)