Comparison of short-term efficacy between robot-assisted and uniportal video-assisted thoracoscopic surgery for right upper lobectomy in non-small cell lung cancer

Objective: To compare the short-term efficacy of robot-assisted and uniportal video-assisted thoracoscopic surgery (U-VATS) for right upper lobectomy in treating non-small cell lung cancer (NSCLC). Methods: 99 early-stage NSCLC patients from Nanxishan Hospital of Guangxi Zhuang Autonomous Region who underwent surgery between July 2022 and December 2024, were selected and grouped based on the surgical approach: patients undergoing da Vinci robot-assisted right upper lobectomy (da Vinci group) and patients undergoing U-VATS right upper lobectomy (U-VATS group). Clinical data were compared between the two groups, including baseline data, efficacy, surgical indicators, postoperative complications, and survival curves. Results: > 0.05). Conclusion: Compared to U-VATS, da Vinci robot-assisted right upper lobectomy for early-stage NSCLC patients demonstrates similar safety and operability, with a significantly higher number of lymph node dissections. There were no significant differences in surgical time, intraoperative blood loss, postoperative chest tube drainage, duration of drainage tube placement, length of postoperative hospital stay, and incidence of postoperative lung infections between the two approaches.