Robotic surgery can provide less surgical trauma than conventional surgery, but differences between robotic and thoracoscopic surgery for atrial septal defect (ASD) repair are not well documented. To explore whether ASD can be repaired by thoracoscopic surgery or robotic surgery, which procedure is less invasive, and the difference in outcomes between these two procedures, this article studies 160 patients undergoing ASD repair at our institution. Sixty-five patients underwent total thoracoscopic surgery and 95 patients underwent total endoscopic robotic surgery. Propensity score matching yielded 64 well-matched patient pairs. Surgical data and early postoperative outcomes between the two matched groups were analyzed and compared. The results show that thoracoscopic and robotic surgery to repair ASD are both safe and reliable, and the early curative effect is good. However, regardless of similar complication rates, robotic surgery has a shorter time, less postoperative drainage, and faster recovery than thoracoscopic surgery.

中文翻译：

---

全胸腔镜与机器人手术修复房间隔缺损：倾向匹配评分分析

与传统手术相比，机器人手术可以提供更少的手术创伤，但用于房间隔缺损 (ASD) 修复的机器人手术和胸腔镜手术之间的差异尚未得到充分证明。为探讨胸腔镜手术或机器人手术是否可以修复ASD，哪种手术创伤较小，以及这两种手术的结果差异，本文研究了在我院接受ASD修复的160名患者。65 名患者接受了全胸腔镜手术，95 名患者接受了全内窥镜机器人手术。倾向评分匹配产生了 64 对匹配良好的患者。对两组的手术资料和术后早期结果进行分析比较。结果表明，胸腔镜和机器人手术修复ASD既安全可靠，早期疗效好。然而，无论并发症发生率相似，机器人手术比胸腔镜手术时间更短、术后引流更少、恢复更快。