Efficacy of using Maryland forceps versus electrocoagulation hooks in da Vinci robot-assisted thoracoscopic mediastinal tumor resection

Abstract

Background To compare the difference of short-term curative effect between the use of Maryland forceps (MF) and electrocoagulation hooks (EH) in da Vinci robot-assisted thoracoscopic mediastinal tumor resection. Methods Analyze retrospectively 84 patients with mediastinal tumors treated with robot-assisted thoracoscopic surgery (RATS) at the Department of Thoracic Surgery of Gansu Provincial Hospital from February 2019 to February 2023. Two groups were divided according to the intraoperative use of energy devices, including 41 cases in the MF group and 43 cases in the EH group. Perioperative clinical data were collected to compare the recent outcomes of patients in both groups. Results There were no statistically significant differences between the two groups in terms of baseline indicators such as sex, age, and tumor size. Compared with the EH group, patients in the MF group have lower operative time, intraoperative bleeding, postoperative hospital stay and the levels of IL-6, IL-8, TNF-α, and cortisol were lower in the MF group than that in the EH patients, with statistically significant differences (P < 0.05). Conclusion RATS for mediastinal tumors using MF is safe and effective, which can reduce the amount of bleeding and reduce the degree of inflammatory reaction.